last updated 7/14/2020
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Boxboro Regency Hotel and Conference Center, Boxborough, MA**
Exploring the Theory of Positive Disintegration
Registration Form
Instructions:
You may register for the Dabrowski Congress in a few ways:
Discounts!! Members of the Massachusetts Association for Gifted Education (MAGE), New Hampshire Association for Gifted Education (NHAGE), or Gifted Homeschoolers Forum (GHF) are eligible for discounts: $25 for the first (2 day) adult.
Should the Congress have to shift to a digital formal, all registrants will receive an 80% discount, with a 100% discount available upon request until August 1, 2021. After that, talk to us. |
Category | Intro to TPD Workshop | Conference 2 | Conference 1 | ||
---|---|---|---|---|---|
Thursday (with lunch) ($10/person discount Reg. if attending all 3 days) |
Two Day Registration (Fri. & Sat.) |
One Day Registration (Fri. or Sat.) |
|||
1st Adult | $70 | $200 | $110 | ||
2nd Adult | $70 | $150 | $80 | ||
4 to 6 Adults | $250 | XXX |
XXX |
||
7 or more adults | Talk to us | XXX | XXX | ||
1st Student* | $40![]() |
$100![]() |
$60 | ||
2nd Student* | $35 | $75![]() |
$45 |
Check your cart:
*IDs of Students may be checked on the day of the conference (but don't bet on it).
If you have questions, you can reach us by email or leave a message at 978-300-5432.
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General Information:
Name:
Street Address:
City: _________________State/Province: ______Postal Code: ____________
Country: ______________Phone Number: _____________Fax: ______________
Email: ______________________Institution (if any): ________________________
Total Fees: $_____.00 + Donation (optional): $______ = Total Amount Enclosed: $________
I am registering a family and would like apply the discount:
Reminder: Checks should be made payable to Gifted Conference Planners.
Attendee Information:
Number of Attendees: ___ (Include additional copies of the third page as needed.)
Attendee 1:
Name:
__________________________
Group: Adult ___ Student ___
Email (if
different): __________________________
Institution:
Sessions Attending:
Thursday ___ Friday ___ Saturday ___
Please tell us your primary role(s):
Educator ___ Therapist ___ Researcher ___ Student ___ Parent ___
Fees: $______
Attendee 2:
Name:
__________________________
Group: Adult ___ Student ___
Email (if
different): __________________________
Institution:
Sessions Attending:
Thursday ___ Friday ___ Saturday ___
Please tell us your primary role(s):
Educator ___ Therapist ___ Researcher ___ Student ___ Parent ___
Fees: $______
Attendee 3:
Name:
__________________________
Group: Adult ___ Student ___
Email (if
different): __________________________
Institution:
Sessions Attending:
Thursday ___ Friday ___ Saturday ___
Please tell us your primary role(s):
Educator ___ Therapist ___ Researcher ___ Student ___ Parent ___
Fees: $______
Attendee 4:
Name:
__________________________
Group: Adult ___ Student ___
Email (if
different): __________________________
Institution:
Sessions Attending:
Thursday ___ Friday ___ Saturday ___
Please tell us your primary role(s):
Educator ___ Therapist ___ Researcher ___ Student ___ Parent ___
Fees: $______
#prices and details subject to change without notice
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