ATA Social Studies Council

October 16-18, 2009 Fairmont Chateau Lake Louise Lake Louise, Alberta

Registration fee includes: Registration Information (Please print clearly)  Friday Panel Discussion Name:  Friday Evening President’s Reception Teaching Certificate #:  Breakfast (Saturday and Sunday) Position/Title:  Lunch Saturday School/Jurisdiction/Business:  Saturday Evening Banquet, Awards & Address: Entertainment Postal Code: Grades Taught:  Breakout Sessions (Saturday & Sunday)  Keynote Speakers (Saturday & Sunday)  Please provide any special dietary requirements Phone, Fax & Email Information Please provide your personal email, as school board email Membership, please check TNET, ATA Online services addresses may block our system www.teachers.ab.ca for your no-charge council Home: ( ) membership. Bus: ( ) If you have questions about specialist council membership Fax: ( ) eligibility, please call the ATA, Email: (780) 447-9400 or 1-800-232-7208. The Alberta Teachers’ Association requires the information Early Bird Conference Registrations received prior to contained on this form in order to conduct the professional and June 30 will be entered for a draw to win a prize donated by business affairs of its membership and will collect, use, and the Fairmont Hotel Group. disclose the personal information about you accordingly. For inquiries, objections, or concerns about how the Personal Information Protection Act applies to your personal information, Conference Rates: please refer to our privacy policy on the Alberta Teachers’ Conference Package $360.00 Association website. In registering for this conference you are Please contact the hotel directly for the special reservation voluntarily providing your personal information to this council. rate Your information will only be used for ATA Social Studies Council Student Rate(Must be accompanied by proof of full time communication. student status) $260.00 Additional Meal packages may be purchased separately (Includes Sat & Sun Breakfast, Sat lunch, Sat Banquet) Registration Deadline is September 30, 2009 $185.00 Personal cheques will not be accepted after September 14.

Your Total $ ______Cancellation Policy If it becomes necessary to cancel your registration, contact: Please make your cheque/money order payable to: Pat Letwin ATA Social Studies Conference 2009 Conference Registrar For VISA/MASTERCARD Credit Card payment, please Phone: 780-476-8210 contact the registrar via email or fax. E-Mail: [email protected]

Send your completed registration form with payment to: Absolutely no refunds after October 1, 2009. Pat Letwin ATA Social Studies Conference 2009 Registrar Confirmation of registration will be provided by e-mail only 6739 – 136 Avenue upon receipt of payment and verification of ATA Specialist Edmonton, AB Council membership. T5C 2J8 I am interested in being a moderator for a session. Fax number: 780-476-8252 Phone number: 780-476-8210 Please check the website at [email protected] for Email: [email protected] additional information.