The Grand Hotel, Malahide, County Dublin - Thursday 7 - Saturday 9 October 2010

Event Registration

To ensure that we account for all your requirements please complete all relevant parts of the form.
Please note that a separate registration form must be completed for each attendee.

If you have any queries about your booking please contact the DownsEd Education Conferences Office on
Tel: +44 (0)1323 637718, Fax: +44 (0)1323 644904, Email: downsed@confpeople.co.uk

Attendee Details
Title:	e.g. Mr/Mrs/Miss/Dr
* First Name:
* Last Name:
Job Title:
Organisation:
Correspondence Address – This will be used for all future correspondence
* Address 1:
Address 2:
* Town/City:
County:
Postcode:
Country:
Contact Details – Please include all area codes
* Tel No:
Fax No:
* Email:
Invoice Address - Once you submit your booking form payment options will be displayed. Please note payment by credit card is the preferred method and confirms your booking immediately. We are pleased to supply an invoice to those non-profit organisations or schools that require it.
Contact Name:
Organisation:
Address 1:
Address 2:
Town/City:
County:
Postcode:
Country:
Purchase Order Number (if applicable):
Email address:
Currency - You can pay in either of the following currencies: Euro or UK Pounds
Please choose your prefered currency:	Please Select EURO UK Pounds
Delegate Package - Please select the relevant delegate type below:
2 day In-Depth Track: (Thursday / Friday)		€400.00 / £340.00 - Standard rate
1 day Essentials Track: (Saturday)		€200.00 / £170.00 - Standard rate
Please choose at least one delegate package from above
Workshop options
2 day In-Depth Track Thursday / Friday:	Please Select Early years in depth (0-5 years) Childhood in depth (5-11 years) Adolescence in depth (11-16 years) Speech and Language in depth
1 day Essentials Track Saturday:	Please Select Early years essentials (0-5 years) - Session now full Childhood essentials (5-11 years) Adolescence essentials (11-16 years)
Dietary Requirements – If you have any special requirements with regard to your diet, please tick below. Please be very specific.
	Vegetarian
	Vegan
Other: (e.g. nut or wheat allergy / kosher / Halal) PLEASE BE VERY SPECIFIC	None
Personal Requirements
Please indicate any other personal requirements.	None
Accommodation Requirements If you require accommodation please contact the DownsEd Conference Office for availability and costs.
Booking Terms and Conditions
Please click here for full Terms and Conditions. I confirm that I have read the registration terms and conditions and wish to continue with this booking.   *
Please complete all fields marked above as "Required".