Annual Adminisitrative Assistant Workshop Registration Form: MADSEC Mardi Gras in March

Once completed, please print a copy of this confirmation for your records using your browser's Print button. Thank you.

Friday, March 2, 2007 - Augusta Civic Center - Augusta, Maine

Discount Rates for three (3) or more staff from same school unit: Deduct $10.00 for registrants #3, #4, #5, etc. from the same school unit. For discount, registrants must be listed on this form. While substitutions may be made by phone at any time, later additions will be at the regular, non-discounted price.

Registration Fees: A--MADSEC Administrative Assistant Members
Early Bird: $50            After 02-02-07: $65
  B--Non Members
Early Bird: $80            After 02-02-07: $95
Name of Director:
School Unit:
Charge to:
Purchase Order Number:
Address #1:
Address #2:
City: State: Zip:
 
Name of Registrant #1:
Position:
Work Phone:
E-mail Address:
Registration Fee #1:
Name of Registrant #2:
Position:
Work Phone:
E-mail Address:
Registration Fee #2:
Name of Registrant #3:
Position:
Work Phone:
E-mail Address:
Registration Fee #3:
If discount is applicable, note here:
Name of Registrant #4:
Position:
Work Phone:
E-mail Address:
Registration Fee #4:
If discount is applicable, note here:
Name of Registrant #5:
Position:
Work Phone:
E-mail Address:
Registration Fee #5:
If discount is applicable, note here:
Name of Registrant #6:
Position:
Work Phone:
E-mail Address:
Registration Fee #6:
If discount is applicable, note here:
Name of Registrant #7:
Position:
Work Phone:
E-mail Address:
Registration Fee #7:
If discount is applicable, note here:
Name of Registrant #8:
Position:
Work Phone:
E-mail Address:
Registration Fee #8:
If discount is applicable, note here:
Name of Registrant #9:
Position:
Work Phone:
E-mail Address:
Registration Fee #9:
If discount is applicable, note here:
Name of Registrant #10:
Position:
Work Phone:
E-mail Address:
Registration Fee #10:
If discount is applicable, note here:
Number Attending Each Breakout Session:
  Breakout Sessions I
  New Regulations
  How to Deal with Difficult People
  MaineCare--Day Treatment
  Online Local Entitlement
  Breakout Sessions II
  New Regulations
  How to Deal with Difficult People
  Forms
  E-mail Etiquette
  Breakout Sessions III
  Forms
  E-mail Etiquette
  MaineCare--SBRS
  What to Expect on a Special Education Review
 
If registrant(s) needs any special accomodation(s) to make it possible to attend this workshop (e.g. disability or dietary needs), please describe in the following comment box. Thank You