Principals Association Presents BULLYING and CYBERBULLYING Conference Sponsored by: DATE: August 10, 2011 The Horace Mann Companies LOCATION: Doubletree Conference Center 10 Brickyard Drive, Bloomington, IL TIME: 8:00 AM -8:45 AM Registration 8:00 AM – 4:00 PM COST: $100 Pre-Registration $125 On-Site Registration Register online, fax or mail. For more details go to www.ilprincipals.org

What is This Conference About? Learn about the latest research on bullying and cyberbullying issues facing adolescents today. Dr. Justin Patchin is a lead researcher on this topic. Erika Harold and Mark Brown are strong advocates of the need to change our schools climate that foster bullying. Brian Schwartz, IPA General Counsel, will discuss what schools must legally do to protect students. B.J. Paris will talk about the serious consequences of bul- Presenters: lying. Finally, Baseball Hall of Famer, Lou Brock Justin Patchin – Associate Professor of Criminal Justice, University will talk about his efforts to help parents protect of Wisconsin-Eau Claire, Bullying Beyond the Schoolyard: their children from cyberbullying. Cyberbullying and Preventing and Responding to Cyberbullying Erika Harold – 2003, Law Associate with Topics Covered: Burke,Warren, MacKay & Serritella, P.C. of , Miss l Current research statistics on bullying America’s Bully Pulpit: Protecting Students from Cyberbullying and cyberbullying and Harassment in Schools l Texting and Social Networking Mark Brown – World Champion of Public Speaking, Nationally l Students committing suicide Acclaimed Speaker on Bullying, Stop Bullying! Take a Stand l Alternatives to address bullying Brian Schwartz – General Counsel, Illinois Principals Association l How to prevent cyberbullying B. J. Paris – Middle School Principal, Austin Texas, Cyberbullying: It is interfering with the educational process. What can I do, Who should attend? what should I do and how should I do it? Building Administrators, Superintendents, School Board Members, Teachers, Lou Brock – Former St. Louis Baseball Cardinal Player, Keeping Kids Safe Community Members

Benefactors: IHSA | IESA | Doubletree Hotel | Premiere Audio Visual Endorsements: | IASA | IASB | IASBO Stifel, Nicholas and Co. | QSP Fund Raisers REGISTRATION MUST BE RECEIVED BY IPA 7 DAYS PRIOR TO WORKSHOP DATE. 2011-2012 ONSITE CONFERENCE TIMES 8:00am – 8:45am ...... Registration / Breakfast 8:45am – 12:10pm ...... Session 12:10pm – 1:00pm ...... Lunch 1:00pm – 3:40pm ...... Session CONFERENCE 3:40pm – ...... Wrap-Up and Door Prizes REGISTRATION Register online, fax or mail. For more details go to www.ilprincipals.org

RETURN TO BULLYING AND CYBERBULLYING CONFERENCE FEES Illinois Principals Association $100...... Pre-Registration 2940 Baker Drive Springfield, IL 62703 $125...... On-Site Registration Workshop Tel: 217-391-0848 Conference fee includes meals, Workshop Fax: 217-391-0849 handouts and door prizes. Email: [email protected] Cyberbullying materials will be PLEASE COMPLETE ENTIRE FORM available for sale on-site. BY TYPING OR WRITING IN THE FIELDS BELOW: Note: Please submit a separate Sponsored by: The Horace Mann Companies registration form for each attendee.

______BULLYING AND CYBERBULLYING CONFERENCE Date______August 10, 2011 Location______Doubletree, 10 Brickyard Dr., Bloomington, IL

Price______$100 / $125 on-site Code (office use only)______12BullyConf

IPA ID #______(ID # is found above your name on the mailing label. If you do not have an ID #, leave this blank.)

Name (required)______Job Title______

E-mail (required for confirmation)______District Name and #______County ______School______Address______City______Zip Code______Phone______Fax______Cell______

Gender (optional) q Male q Female

Ethnicity (optional) q African American q Asian q Caucasian q Hispanic q Native American q Other______

PAYMENT INFORMATION REQUIRED TO PROCESS REGISTRATION FORM:

q Check # ______(Please include a copy of completed form with your check made payable to Illinois Principals Association) q Purchase Order #______q Visa q MasterCard q Discover q American Express q Credit Card #______Exp.______Signature

Return to: Illinois Principals Association, 2940 Baker Drive, Springfield, IL 62703, Fax (217) 391-0849. Registrations WILL NOT be accepted over the phone. Registration cancel- lations must be made at least five days prior to the Conference to receive a full refund. Cancellations within five business days will be assessed a $50 service charge. Individuals who do not cancel their registration and are not in attendance are responsible for FULL PAYMENT. All cancellations and substitutions must be received in writing and WILL NOT be accepted over the phone. No refunds will be granted for cancellations requested on the day of the Conference. All billing will be done through the district office unless otherwise requested.