Form

"10 Years of Providing First Nations Child & Family Services Our Way"
10th Annual National First Nation Child & Family Services Conference

May 18-21, 2009
Victoria Conference Centre
Victoria, B.C

Conference Registration Form First Name:
Middle Initial:
Last Name:
Organization Name:
Address:
City:
Province / State:
Postal / Zip Code:
Contact Number:
Fax number:
Email:
I am Registering as:

$350.00 Early Bird Registration Before March 13, 2009
$400.00 Regular Registration After March 13, 2009
$300.00 Group Registration (10 or more must be registered)
$300.00 Elders Registration

Payment Information:

Please Note that we only accept company cheques and money orders, sorry for the inconvenience.

Make Cheques or Money Orders Payable to:

YTSA (Yellowhead Tribal Services Agency)
Suite 200, 17304 - 105th Avenue
Edmonton, Alberta T5S 1G4

PAYMENT AND CANCELLATION POLICY:

Payment must be received upon registration. There will be a cancellation fee of $100.00 if the participant cancels paid registration before April 17, 2009 there will be no refunds for cancellations after this date.

To ensure prompt registration please fax back to Janine Arcand (780) 481-3064

"10 Years of Providing First Nations Child & Family Services Our Way" 10th Annual National First Nation Child & Family Services Conference

Payment Information:

Make Cheques or Money Orders Payable to:

PAYMENT AND CANCELLATION POLICY:

"10 Years of Providing First Nations Child & Family Services Our Way"
10th Annual National First Nation Child & Family Services Conference