As it should appear on badge

Are you a

first time attendee?

  Yes        No

Special Needs
(including food and/or accessibility requirements)

Emergency Contact:
(Include name

& phone)

Are you and/or your guest attending the President's Dinner?

Yes      No

If so, please indicate one of the following entrees.

Conference Registrant

Chicken   Beef   Fish    Vegetarian

Guest Selection

Chicken   Beef   Fish  Vegetarian

Conference Registration Rates

Member & Non-Member rates include the cost of all meals, functions and materials for the Conference. *Payment for Early Bird Rate must be received before registration is processed.

Member Rate

Early Bird:      $575 before November 16, 2007

Regular Rate: $675 after November 16, 2007

Non-Member Rate     $700

Optional events & Fees

Please add fees to the registration rate if you plan to participate:

 $130   NAPSEC Annual Rick Robinson Golf Classic

*The golf tournament will be held on Monday, January 21st this year from 1-6pm. Lunch and refreshments are included in the cost.  

Type golfer's name and handicap or average shot/18 holes

NCASES Sessions

  $55   How to Prepare for NCASES Accreditation
This session will assist you in preparing your program for accreditation by the National Commission for the Accreditation of Special Education Services (NCASES). Topics will include a review of the standards for accreditation and an extensive overview of how to successfully prepare your program for the self-study and on-site review. Lunch served

NCASES Site Reviewer Training 
This session will enable you to be placed on the active list of trained NCASES sites reviewers. Lunch served

Guest Registration fee

$200 per guest- Includes all events and meals: Welcome Reception, breakfast each morning, NAPSEC Foundation Event, and The President’s Reception and Gala. Children under 12 are free.

How many guests do you plan to bring? 

Please type the Name of each Guest (s):

*If attending the President's Gala Dinner make sure to select entree above.

Payment

Please include conference registration fee, optional event fee(s), and guest fee if applicable. *Payment for Early Bird Rate must be received before registration is processed.

Refund Policy

Refunds will be given before December 28, 2007 with a $75 administration fee deducted.

No refunds will be given after December 31st.

Total Enclosed $

Method of Payment  Check   Visa   MC   AmX

Credit Card #  

Expiration Date

Name as it appears on Card  

Please Note: If you leave this form before printing your registration, the information will need to be re-entered.

Make checks payable to NAPSEC and mailed to:

NAPSEC
1522 K Street, NW, Suite 1032
Washington, DC  20005

Please call the NAPSEC office at (202) 408-3338 if you have any questions regarding the 2008 NAPSEC Leadership Conference or Registration.

Send to NAPSEC

Please print your form and fax

it to the NAPSEC office at 202-408-3340.