Registration Form


Delegate Information:
Organization: (if applicable)
Name:
Adress:
Phone:
Email:

Travel Information:
Arrival Date/Time:
Departure Date/Time:
Dietary Restrictions:

Registration Fees for Individuals:

Under 30:

***FREE***

Over 30:

Your registration fee for the conference covers all conference sessions, workshops, events & meals*.

Enclosed (please check all boxes that apply):
  $150 – Early Bird Registration (Before September 9, 2011)
  $175 – Late Registration (After September 9, 2011)

I would like to sponsor (please state number) youth participant(s).


*For dinner on Saturday, October 15, 2011, please add $50/person to the amount above.
**Members of ANCY get $25 off registration.

  I would like to be a Member of ANCY

Membership Details (link to PDF)



Membership for Organizations:
***Annual Fees for Non-Profits (based on operational budget)

No Insurance Package:
  $0 to $149,000 – $50
  $150,000 to $299,000 – $75
  $300,000 to $499,000 – $100
  $500,000 and up – $150


With insurance package*:
  $0 to $149,000 – $150
  $150,000 to $299,000 – $200
  $300,000 to $499,000 – $250
 $500,000 and up – $300


Individual Memberships:

Annual Fees:

Single – $25
Under 30 - Free



Registration Amount: $

Amount added for travel, accommodations, and dinner for youth participants: $

Amount Included for Membership Fees: $

Total Amount: $






Payment Method:

Please follow the link to our Paypal Account




Accommodations:

Rooms are reserved for delegates at a discounted rate at the following hotels:
Westin Harbour Castle http://www.starwoodhotels.com/westin/index.html
Registration code: (please state you are attending the Arts Network for Children and Youth Symposium)
We have negotiated a special price of $109 for the Conference.
The booking deadline is: September 14th, 2011

E: symposium@artsnetwork.ca
T: 416-536-6504
519-409-9105
1-866-356-0089