2010 AAP Conference
"Co-Creating the World We Want"
June 25-27, Chicago, IL

REGISTRATION FORM
2010 AAP Conference

First Name:
Address:
State/Province:
Country:
Cell Phone:
Email:
Last Name:
City:
Zip/Postal Code:
Phone:
Fax:

Three ways to register:
  1. Complete this form and submit electronically.
  2. Print out this PDF form here, complete and mail to:
    Audrey McMorrow, Conference Registrar
    121 N River Dr, Narragansett, RI 02882
  3. Print out this PDF form here, complete and fax to: (401) 284-1840.
Conference Location:
Techny Towers Conference and Retreat Center
2001 Waukegan Road, Techny, Illinois 60082
(847) 272-1100 www.technytowers.org
This facility is wheelchair accessible.

Financial Aid:
Students in full-time academic programs, professional training programs, or a psychosynthesis training program are all given a $100 discount off the regular full registration fee,



$50 for part-time students. Please note what program or school you are enrolled in for this discount.

Cancellation / Refund Policy:
Requests for refunds must be in writing. Full refund, minus a $50 service fee, will be made for requests postmarked no later than 15 days prior to the beginning of the conference. No refunds will be made thereafter.

CE Credits:
The American Psychological Association (APA) and the National Board for Certified Counselors (NBCC) has approved CE credits for the TDP and all conference workshops, with the exception of workshops 402, 407, and 804.

ALL EVENTS ARE WHEELCHAIR ACCESSIBLE. Please alert the Registrar of any special needs.
WORKSHOP SELECTION

Please choose one session for each round, noting that 3-hour sessions (in bold) require two rounds. Note: All workshops are followed by a 15-minute break; 3-hour sessions have a break only at the end. Note: Every effort will be made to accommodate your preferred workshops; however, if a workshop should reach its maximum, we may have to assign you to an alternate selection. You will be contacted in that event.


Registration for TDP
TDP PRE-CONFERENCE Thursday & Friday 9:00 am - 4:00 pm
ROUND ONE (Addt'l charge)(Friday 9:00am to 4:00pm) 101 102                              

CONFERENCE
ROUND TWO(Friday 1:30—4:45 pm) 201                                    
ROUND THREE(Friday 3:00—4:30 pm) 301                                    
ROUND FOUR(Saturday 10:30 am—12 pm) 401 402 403 404 405 406 407
ROUND FIVE(Saturday 1:00—2:30 pm) 501 502 503 504 505 506 507
ROUND SIX(Saturday 3:00-4:30 pm) 601 602                              
ROUND SEVEN(Sunday 8:30—10:00 am) 701 702 703 704 705 706 707
ROUND EIGHT(Sunday 10:15—11:45 am) 801 802 803 804                  

POST-CONFERENCE
ROUND NINE (Addt'l charge)(Sunday 2:30—6:30 pm) 901                                    



CONFERENCE REGISTRATION

Please note that all conference registrants are welcome to attend the pre-conference workshops beginning Friday afternoon at no additional charge.


Please check all that apply:

Before
May 1
Before
June 1
At the
Door
Amount Due
in US $
Full Conference (AAP Member) - includes all meals $300 $325 $350
Full Conference (Non-Member) - Includes all meals $350 $375 $400
Pre-Conference Workshop (not TDP) 6/25/2010
     (AAP Member) - includes lunch
$100 $125 $150
Pre-Conference Workshop (not TDP) 6/25/2010
     (Non-Member) - includes lunch
$125 $150 $175
Trainer Development Program (TDP) 6/24 & 6/25
     (includes all meals)
 $175
Sunday Post-Conference 2:30—6:30 pm    $30
CE Processing Fee    $30
Discount for full time students or psychosynthesis
      trainee(full conference Fri-Sun)
-$100
Discount for part-time students or psychosynthesis
      trainee(full conference Fri-Sun)
  -$50
Discount for Workshop Presenters   -$50
Discount for on-site volunteers   -$50
Other discounts *
I want to make a tax-deductible contribution to the AAP:

Overnight Accommodations at Techny Towers
Room rates per room per night are $61 single, $92 double, and $123 triple occupancy in the Towers.;$44 (single) in the Maria House. Reservations for Techny Towers must be made through this form. Overnight accommodations are not available at Techny Towers on Wednesday, June 23 or Thursday, June 24. Please see alternative hotels below.
Friday, June 25, 2010
Saturday, June 26, 2010
Sunday, June 27, 2010

TOTAL DUE (including conference registration):
_______

*Please contact the Conference Registrar if you have been involved in a conference committee and may be eligible for additional discounts.

If double or triple occupancy, please give name of desired roommate:
Would you like the conference registrar to arrange a roommate for you? yes no

PAYMENT OPTIONS:
Pay Now using PayPal (our preferred method)
Pay by Credit Card by faxing this registration to the Conference Registrar at (401) 284-1840.

Mastercard / Visa #: ________________________Expiration Date: ________Sec Code (3 digit): _____

Signature: ___________________________________________________________________________

Pay by mailing a check payable to “AAP” to the Conference Registrar at:

Audrey McMorrow
AAP Conference Registrar
121 N River Dr
Narragansett, RI 02882

ALTERNATIVE HOTELS:
*Red Roof Inn @ $60 (847) 205-1755 3 1/2 miles from Techny Towers
Baymont Inn @ $59 (847) 635-8300 6 miles away
*Renaissance Inn @ $65 (847-498-6500) 3 1/2 miles away
*Shuttle available to Techny Towers from hotel

TRAVEL INFORMATION
Airports: O'Hare Airport 12 miles away, Midway Airport 33 miles away

Directions:
From the North
Via Tri-State Tollway 294/Interstate 94 East: Stay on 94 East/Edens Expressway to Chicago. Exit at Waukegan Road (Route 43). Continue two miles South on Waukegan Road to Techny Towers.
From the South
Via Interstate 94 West/Edens Expressway: Exit at Willow Road West. Take Willow Road two miles to Waukegan Road (Route 43). Turn right (north) on Waukegan Road to Techny Towers.Via Interstate 294/Tri-State Tollway: Exit at Willow Road East. Take Willow Road for three miles to Waukegan Road. Turn left (north) on Waukegan Road to Techny Towers.
From Midway Airport
Located in Chicago, Midway is bound on the east by Cicero Avenue, on the west by Central Avenue, on the south by 63rd Street, and on the north by 55th Street. Take Cicero Avenue north to I-55 North/Stevenson Expressway. Once on the expressway, take I-55 north to Exit 292A, leading to I-94 West/Dan Ryan Expressway. Stay on I-94 West into the Edens Expressway. Exit at Willow Road West. Take Willow Road two miles to Waukegan Road (Route 43). Turn right (north) on Waukegan Road to Techny Towers.
From O'Hare Airport
You will exit O'Hare on Interstate 190-East. Take 190-East to Exit 1C, Interstate 90 onto Interstate 294 North (Tri-State Tollway). Exit tollway at Willow Road East toward Northbrook/Glenview. Take Willow Road to Waukegan Road (Route 43). Turn left (north) on Waukegan Road to Techny Towers.

TRAVEL GROUP INFORMATION REQUESTED:

I want to form a travel group from the airport to Techny Towers and request the names and email addresses of others who will be arriving at the same airport around the same time. I also give the Registrar permission to share my name and email address with others in turn. I understand that these are voluntary groups and that AAP is not forming or subsidizing these groups.
Airport: Arrival Date: Arrival Time:

Other information or comments:
Please send my registration confirmation by: Email US Mail

Please contact the Conference Registrar, Audrey McMorrow, at (401) 284-1839 or audrey@vasthorizons.com with any questions.


Before submitting form, please make note of the TOTAL DUE amount above.



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