Beyond IQ

Last updated: 07/01/09

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Beyond IQ: Midwest
Family Dynamics

 

St. Charles, Illinois, July 10-12, 2009

How To Register:

You can register for Beyond IQ in three ways:

  1. By Credit Card or Check – using PayPal
  2. By Mail – print out the form below, fill it in, and send us a check (see address at the bottom.)
  3. At the door – Walk-ins are welcome.

Beyond IQ Registration Form

Please print this form and bring it with you, even if you have mailed a copy in. 
To use a credit card, click here.

Basic Information

 

Name

Street Address 

Street Address 

City 

State/Province

Zip/Postal Code 

Country

 

 

Phone Number

Fax Number

Email

 

 

Institution (if any, for badge)

 

 

Registration Fees

 

category 

Pre-Conference

(Friday)

Conference 
(Sat. + Sun.)

One Day Only
(Sat. or Sun.)

1st Adult 

$25

$50

$30

2nd Adult 

$20

$40

$20

YA/Grad Student 

$15

$30

$20

1st Child

N/A

$30

$20

Additional Children (each)

N/A

$25

$15

 

 

.

Registration type 

 Family Parent College or Grad Student Teacher Administrator Counselor/Therapist Presenter Presenter w/Family 

Number in party:

Age(s) of Child(ren): 


For children too young to participate in the children's programming, click here.

Post-secondary Student at:

(if applicable)

If you are registering as a Post-secondary Student, give your institution and be prepared to show a student ID when you pick up your registration material.

TOTAL FOR CONFERENCE REGISTRATION: 

Friday Workshops: 

 Teacher Administrator Counselor/Therapist Combination 

Payment Information

If you are paying with a credit card, click here.

If you are paying by check, make it payable to:

Gifted Conference Planners 
c/o 7 North End Rd. 
Townsend, MA 01469-1124

Comments and Notes

Problems? Questions?

And finally ...

  • Print two copies of this form now; bring one with you and keep one for your own records.


Click here to clear the form and start over: <INPUT TYPE="reset"> 


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