BCSCA Conference 2011
October 19-21, 2011
Vancouver, BC
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Registration

Required fields are marked with required
Register for: required Thursday Only
Friday Only
Thursday and Friday
Personal Information
Salutation: required Mr.
Mrs.
Ms.
Dr.
First name: required
Middle name:
Last name: required
Home Address: required
City: required
Province: required
Postal/Zip code: required
Country:
Email: required Your email address is our primary way of communicating with conference delegates.
Phone - Home: required
Work Informationen
Phone - Cell:
School District: required
School: required
Phone - Work:
Your job: required
Position:
Group Name:
Are you a workshop instructor at the conference?: required Yes No
Are you a member of the BCSCA Executive?: required Yes No
Full-time Student

Full-time students are eligible to attend for a discounted fee. Please bring proof of your full-time student status to the conference!

Name of post-secondary institution:
Student Number:
Dietary Requirements/Allergies
Are you a vegetarian?: required Yes No
Dietary Requirements/Allergies:
We need your help

We need delegates who are willing to introduce and thank presenters for the various workshops that we offer. Please indicate by clicking the following checkbox if you are willing to help:

Yes, I would like to help: required Yes No
Free Registration
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