AAUW Home || EYH Home || Girls Workshops || Adults Workshops || Registration Form

Registration Form for Students

Print this form using your computer's print button.
Fill out form and mail it with your Registration Fee to the address below.

$10 Early Bird Registration Fee included (postmarked on or before February 27)

$15 Registration Fee included (postmarked after February 27)

Name

  

Address

  

City, State Zip

  

Phone

  

School

  

Grade

  
Workshop Choices: You will attend three hands-on workshops sessions. Please list the session number of your first six (6) choices in the boxes below in the order of your preference. Click here to see the list of workshops.

1st

2nd

3rd

4th

5th

6th
To request the same workshop session with a friend, write her name here and send your forms together in the same envelope. We cannot guarantee placement in the same session.

Friend's Name

   

Special Needs
 
  
please let us know special needs by Feb. 27
Parent/Guardian Permission: (This MUST be completed and signed.)
I give permission for my daughter to attend the Expanding Your Horizons Conference on March 8, 2008 in Springfield, Illinois. I give permission for an adult conference organizer to seek emergency medical treatment for her if I cannot be contacted.
 
Signature
  
Phone (during conference)
 
Emergency contact name and phone during conference
 
I do NOT want my child's picture to be taken or used in future EYH promotional materials.

Registration Form For Adults

Name

  

Address

  

City, State Zip

  

Phone

  

Parent
 

Educator
 

Other
 

 

Fees and Registration: There is a fee for each student or adult who attends.
Student/Adult Fee: $10 Early Bird Fee postmarked before Feb. 27, 2008.
Student/Adult Fee: $15 Fee postmarked after Feb. 27, 2008.
 This fee includes all conference materials, activities and refreshments. Lunch is not provided. Sorry, no phone registrations will be accepted. Scholarships to waive the registration fee are available based on need. Complete the registration form and send it along with a check or money order payable to Expanding Your Horizons.

Confirmation will be mailed to you with directions and a map.

Mail to:

Expanding Your Horizons
c/o Meise Fahsl

Space is limited!

Register early!

 

2201 Lake Crest Drive
Springfield, IL 62712

 

For more information, call:

(217)529-4165

 

Want to see a video about EYH conferences? Go to the Web site www.expandingyourhorizons.org and click on New!! EYH Movie. Much of the movie was filmed at Springfield's EYH event!

LOCATION: The conference will be held at the Public Affairs Center on the campus of the University of Illinois at Springfield. Confirmation of your registration will be mailed to you along with a map and directions to the University of Illinois at Springfield.
AAUW Home || EYH Home || Girls Workshops || Adults Workshops || Registration Form