REGISTRATION FORM: 21ST NATIONAL CONGRESS ON RURAL EDUCATION
Imagine the Possibilities …
MARCH 20 – 22, 2016 – TCU PLACE – SASKATOON, SK
PARTICIPANT
Name:
Address:
City:
Prov:
Home Phone:
Postal Code:
Work Phone:
Fax:
E:Mail
School Division/Institution:
Which Category Most Appropriately Describes your Role? (Check One)
☐ Community Leader
☐ Educational Administrator
☐ Government Official
☐ School Council Member
☐ Student
☐ Teacher
☐ Trustee
☐ University Personnel
REGISTRATION FEES
Fee
GST
Total Fee
Early Bird Registration (BY February 1, 2016)
375.00
18.75
393.75
Registration (AFTER February 1, 2016)
400.00
20.00
420.00
Presenter Registration
275.00
13.75
288.75
University Student or School Community Council Member
275.00
13.75
288.75
Three (3) School Community Council Member Bundle
675.00
33.75
708.75
Extra Banquet Ticket (Monday, March 21st 6:30 pm)
40.00
2.00
42.00
Pre Congress Workshop (Sunday, March 20th 2:00-4:30 pm)
70.00
3.50
73.50
Please check which
Pre-Congress
Workshop you will
attend
TOTAL REGISTRATION FEE
Quantity
Amount
#1 – Promoting Educational Success for
Aboriginal Students
#2 – Sexual Orientation and Gender
Identity in Canadian Schools
PAYMENT: We are not able to accept payment by credit cards
Cheque/Money Order to be forwarded (Payable to SELU / Saskatchewan Educational Leadership Unit)
Please send invoice to: ___________________________________________________________
___________________________________________________________
___________________________________________________________
Registration fee includes:
 Sunday 7:00 pm opening presentation by Karl Subban, followed by reception.
 Two breakfasts and lunches (Monday and Tuesday)
 Banquet on Monday evening with entertainment
 Two keynote presentations and your choice of over 50 concurrent sessions.
Mailing address/ contact information:
Saskatchewan Educational Leadership Unit (SELU)
Room 1257, College of Education
28 Campus Drive, Saskatoon, SK S7N 0X1
Phone: (306) 966-7634 Fax: (306) 966-7916
E-mail: selu.info@usask.ca - Website: www.usask.ca/education/ruraled