Southern Conference on Children 2015 Brochure

Page 1

Saturday, January 24, 2015

REGISTE R E ARLY! * 6 hours of training!

Ne ssmit h-Lane C onfe re nce C e nt e r, Ge orgia Sout he rn Unive rsity, Stat e sboro, GA

SOUTHE R N C ONFE RE NC E ON C HILDRE N

SPONSORED BY School of Human Ecology, College of Health and Human Sciences and The Division of Continuing Education at Georgia Southern University, Statesboro, GA

Find full confe re nce de tails on t he we bsit e at www.Ge orgiaSout he rn.edu/scoc CO N T I N U I N G E D U C AT I O N

CO N T I N U I N G E D U C AT I O N

Statesboro, Georgia 30460-8124 P.O. Box 8124 CONTINUING EDUCATION


Saturday, January 24, 2015

To maximize the learning opportunity for each person, please make child care arrangements for your children on Saturday. Children WILL NOT be permitted to attend training workshops.

WHO SHOULD ATTEND • Childcare Center Directors and Personnel • Pre-School, Pre-K, Kindergarten Teachers & Parapros • Family Child Care Providers • School Age Child Care Providers • Parents of Young Children

Need Registration Assistance? Call toll free 855.478.5551 FAX: 912.478.0847

SOUTHE R N C ONFE RE NC E ON C HILDRE N Ne ssmith-Lane C onfe re nce C e nt e r, Ge orgia Southe rn Unive rsity, Stat e sboro, GA

OVERVIEW This one-day conference will provide you with valuable information on current child-related topics. Leaders in family and child studies, early childhood education, and professionals in related fields will identify and discuss trends and techniques for working with young children. Included are special sessions designed for center directors.

CREDITS Certificates for attendance will be awarded for 6.0 hours of participation. Bright from the Start: Georgia Department of Early Care and Learning Child Care Services recognizes this conference for updating staff training requirements. Record of attendance will be handed out at the end of each session attended.

BENEFITS OF ATTENDING • Obtain resource information and ideas that you can take back to the job and to your own home. • Meet and talk with other professionals. • Increase professional commitment to the improvement of child care quality. • Enjoy exhibits.

FEES, C ANC ELLATIONS, REFUNDS • $45 if payment is received on or before January 10, 2015 at 5 p.m. • $75 if payment is received after January 10, 2015 at 5 p.m. • $90 on-site registration • $7.50 Chick-fil-A Box Lunch (includes Chicken Sandwich, Chips, Cookie, and a Drink) PRE-ORDER ONLY! The fee includes conference sessions and materials, breakfast and certificate. Cancellation requests should be received by 5 p.m., January 18, 2015. A $25 processing fee will be charged to process all cancellations. Substitutions are encouraged.

ABSOLUTELY NO REFUNDS WILL BE MADE AFTER THE CONFERENCE.

AC C OMMODATIONS Holiday Inn, Statesboro 455 Commerce Dr Statesboro, GA 30461 (912) 489-4545 $84 per night, 13% tax Breakfast Buffet Included Cut off date: January 2, 2015 Please be sure to mention that you are attending the Southern Conference on Children.

DIRECTIONS The Nessmith-Lane Conference Center is located at the corner of Plant Drive and Chandler Road on the campus of Georgia Southern University. Chandler Road is accessed from Hwy. 67/Fair Road. Exit 127 off Interstate 16. Turn left onto Chandler Road. Turn right at the third traffic light at Plant Drive. The parking lot is accessed from Plant Drive. Please park in any lot adjacent to the conference site.

Need Conference Information? Contact Mary Jernigan Phone: 912.478.2584 scoc@georgiasouthern.edu

Find full confe re nce de tails on t he we bsit e at Ge orgiaSout he rn.e du/scoc

7:30 – 8:30 a.m. REGISTRATION, EXHIBITS, BREAKFAST (BREAKFAST WILL INCLUDE COFFEE, JUICE AND FRUIT ONLY)

8:30 – 9:30 a.m. WELCOME & OPENING PRESENTATION

GIGGLE WIGGLE CLAP AND LEARN… MOVE YOUR BODY AND YOUR BRAIN Children are natural wigglers and this energy can be used as a learning experience! This enthusiastic presentation includes dozens of easy to replicate activities that foster language development coupled with kinesthetic learning. Participants will be doing MONDAY MORNING READY activities that they can immediately use in their work with young children, fostering important skills such as rhythm,repetition, and rhyme. Of course, there will be lots of clapping and laughing too! Perfect for those who are looking for new ways to enhance the language to literacy connection children ages 2-7!!! Activities that are age appropriate for stimulating auditory awareness, listening skills, language use and oral motor skills will be presented in this lively fast paced session that is hand- on, user friendly and FUN. Participants will be actively involved in dozens of new activities that include props, costumes, puppets and visuals designed to enhance oral language skills in young children. Wear comfortable clothing as we will be MOVING! Jane Kitson, Pocket Productions, Savannah, GA

* ADVANCED TRACK TRAINING SESSION ALL DAY SESSION

9:45 a.m. to 12:45 p.m. and 1:30 to 4:30 p.m.

CULTURAL COMPETENCY: SUPPORTING DUAL LANGUAGE LEARNERS Course designed to assist providers in understanding needs of dual language learners, and about specific strategies that can be utilized to help support these learners. Kristen Goetz, Technical Assistance Coordinator/ Team Lead Trainer, the Early Start Child Care Resource and Referral Agency of Southeast Georgia, Savannah Technical College, Savannah, GA


FULL MORNING SESSION • 9:45 a.m. to 12:30 p.m.

BRIGHT FROM THE START: GEORGIA DEPARTMENT OF EARLY CARE & LEARNING TRANSPORTATION TRAINING The training provides a full overview of the transportation rules and regulations, as well as, demonstrates the how to complete transportation and field trip forms in their entirety. The training is state approved and satisfies the transportation training requirement that is effective June 30, 2015 for all facilities that transport children or have children transported on their behalf. Lacey Lewis, Quality Improvement Consultant, Atlanta, GA Carrie Spangler, Lead Consultant, Central Region of Child Care Services, Atlanta, GA

MORNING SESSIONS • 9:45 a.m. to 11 a.m. • 11:15 a.m. to 12:30 p.m. A POCKETFUL OF FUN Fingerplays and rhyme play an important role in acquisition of language skills. As the author of over hundreds of language activities that are being used in classrooms around the world, Jane Kitson will show you how to incorporate rhythm, rhyme and repetition to enhance auditory processing/ discrimination, predictability, context clues and phonemic awareness. Make your classroom fun by enhancing it with language activities that include puppets, literature, stories and easy to do activities that will have your children begging for more! Fill your pockets full of NEW activities that incorporate: actions+fun=learning!!! Jane Kitson, Pocket Productions, Savannah, GA

ADD A SLICE OF MUSIC…ADD A SLICE OF FUN! Sing your way through a day that is packed with language activities guaranteed to light the fire of learning in young children. Music can and will enhance early language skills. Join Jane Kitson as she shares dozens of new action songs that are ready to be taken back to strengthen language skills in your classroom right away! Wear comfortable clothing that will enable you to move as you wiggle and jump your way to an exciting, fun filled day with your children. New and easy musical activities will be explored as they provide an engaging opportunity to experience new words and concepts through rhythm, repetition and rhyme: a critical way to improve language skills in young children. Participants will feel empowered as they leave this workshop with new ideas that are ready to roll. This session is packed with fun and laughter…a key element in working with young children. Get ready to move and learn things you can use right away, as you work with children ages 2-7. Jane Kitson, Pocket Productions, Savannah, GA

TOUCH, TODDLE AND TALK Attendees will learn the basics of communication, fine motor and gross motor development and will be given tools and resources to assist them in facilitating this development in the classroom. The course will also discuss what to do if development is not typical, how to be confident in talking to families about their concerns in a positive way, and the road map to services available in the state of Georgia for children with delays in communication and motor development. Caroline Bowman, M.Ed., CCC-SLP, The Therapy Spot, Statesboro, GA

HOW TO UTILIZE YOUR COMMUNITY RESOURCES PARTNERSHIPS Did you know there are free resources in your community? Come see what is right at your fingertips for you to utilize in your classrooms. Kay Wilson, MS Education, Southeastern Technical College, Vidalia, GA

THE “HOW AND WHY” OF USING POSITIVE GUIDANCE WITH CHILDREN Learn why positive guidance works with children and how to implement positive guidance techniques in your program and/or classroom. Alice Hall, Associate Professor, School of Human Ecology, Georgia Southern University, Statesboro, GA

C ONFE RENC E LUNC H BRE AK 12:30 to 1:30 p.m.

WHO’S AFRAID OF TECHNOLOGY?: EXPLORING THE USE OF TECHNOLOGY IN THE EARLY CHILDHOOD CLASSROOM Children today are growing up in a rapidly changing digital world. Most have regular access to forms of technology that were less available just 5 or 10 years ago. In the mid- to late-90’s, as a response to the ever-expanding technological trends, educators began to recognize the importance of integrating technology into educational environments. Since then, the use of technology in the early childhood classroom has become widely accepted. But is it being integrated appropriately? And how are we making sure that the children who need it the most are benefiting? Using the NAEYC position statement as our foundation, this presentation is designed to examine the appropriate use of technology in the early childhood classroom. We will also examine issues related to equity and access to technology, and budgetfriendly ways to technologically modify current curricula to better support the developmental needs of all children. Dina Devose, Georgia Southern University, Statesboro, GA

BRIGHT FROM THE START – ADAPTATION FOUNDATIONS: INCREASING CHILDREN’S ENGAGEMENT AND PARTICIPATION By practicing ways to adapt materials and activities to meet the needs of all children in their care, the participants will gain knowledge and skills that will help them create a more inclusive environment in their programs. Katie Hagan, Inclusion Specialist, DECAL, Atlanta, GA

DIRECTORS PANEL Speakers will go over various pressing issues that all Director’s and Trainer’s face in the field of early childhood education and child development. These topics include but are not limited to: Staff Motivation, Retention, Professionalism, Family Engagement and Changes to DECAL. Michelle Smith Lank, Owner and Director of Kid’s World Learning Center, President of Georgia Child Care Association, and GAYC 2014 Provider of the Year, Statesboro, GA Candace Ivarone, Director of Georgia Southern University Child Development Center, Statesboro, GA Amy Godbee, Director, Brooklet United Methodist Church Preschool, Brooklet, GA

MIRRORS, MOVEMENT, AND MORE: LEARNING CENTERS IN THE INFANT CLASSROOM This presentation will review with infant teachers the importance of understanding learning areas for the infant classroom. Intentional use of planning based on children’s individual needs and goals will be the basis of discussion. Participants will have the opportunity to practice classifying learning materials and discuss the relationship between children’s goals and the learning areas. Raina Chance, Georgia Southern University, Statesboro, GA

5 MORE MINUTES! WAIT! HURRY UP! THE DOS AND DON’TS OF TRANSITIONS Consistent, smooth, positive, and appropriate transitions are important to a child’s daily routine and development. Allison Brown, Child Development Specialist, Child Development Center, Georgia Southern University, Statesboro, GA

PROMOTING HEALTHY HABITS WITH NUTRITION AND EXERCISE FOR PRESCHOOL CHILDREN Learn tips on how healthy habits with nutrition and exercise can help your children in your classroom. Kay Wilson, MS Education, Southeastern Technical College, Vidalia, GA


FULL AFTE RNOON SESSION •

1:30 a.m. to 4:15 p.m.

STANDARD 101: HOW TO USE THE GELDS The training provides a full overview of the transportation rules and regulations, as well as, demonstrates the how to complete transportation and field trip forms in their entirety. The training is state approved and satisfies the transportation training requirement that is effective June 30, 2015 for all facilities that transport children or have children transported on their behalf. Lacey Lewis, Quality Improvement Consultant, Atlanta, GA Carrie Spangler, Lead Consultant, Central Region of Child Care Services, Atlanta, GA

AFTERNOON SESSIONS • 1:30 to 2:45 p.m. • 3 to 4:15 p.m. BACK TO BASICS BOOT CAMP – CORE RULES Presenting each of the core rules and explaining them in depth. Allowing the participants to teach back what they have learned by making a poster in their own words for what each core rule means. Allowing participants to talk about core rules as they relate to their everyday environment. Getting feedback from participants for strategies to ensure daily compliance with core rules. Mary Jerrell, Technical Assistance Consultant and Rachel Fowler, Quality Improvement Consultant, Bright from the Start, Atlanta, GA

PACKING THE BACKPACK; ADDING SPIRITUAL DEVELOPMENT AS AN ESSENTIAL DOMAIN Teachers will be equipped and empowered to guide children in their Christian faith development through interaction, storytelling and play. Chip Grantham, Pastor, Brooklet United Methodist Church, Brooklet, GA

PROVIDER MANAGEMENT AND PAYMENTS Overview of MAXIMUS GA CAPS partnering role with DECAL and DFCS County Offices; GA CAPS website; payment disbursement process; common causes of claim overpayments. Tamara Hall, Program Director, Childcare and Parent Services (CAPS) Program, Alexander McDugle, Arlishia Bradley, Cleveland Green, MAXIMUS, Childcare and Parent Services (CAPS) Program, Atlanta, GA

QUALITY RATED ORIENTATION Quality Rated is Georgia’s system to assess, improve, and communicate the level of quality in early education and school‐age care programs. Participants in this session will learn about the Quality Rated process, how program participants are supported through the process, and why the program is needed in Georgia. Lindsay Miller, Quality Rated Assessor, Bright from the Start: Georgia Department of Early Care and Learning, Atlanta, GA

GET UP AND MOVE SOMETHING An alternative to the remote control and video games. This is a hands-on, interactive workshop. Be prepared to get up and move something! Cynthia Washington Bell,Associate ECE, Savannah Technical College, Savannah, GA

STRENGTHENING FAMILIES GEORGIA: AN EFFECTIVE APPROACH TO SUPPORTING FAMILIES AND COMMUNITIES Learn to apply the five protective factors in your everyday work. Explore Strengthening Families Georgia efforts to embed the factors into family serving agencies. Bobbie Lee, Executive Director, AGC Training Center, LLC, Augusta, GA

TRASH TO TREASURES Trash that can be made into the best classroom essentials. We will take some really unusual things and show you how to can be incorporated into your classroom. Linda Taylor, Technical Assistant, Early Start Resource and Referral Agency, Savannah, GA

THE SOCIAL AND EMOTIONAL DEVELOPMENT OF INFANTS AND TODDLERS: UNDERSTANDING TEMPERAMENTS Participants will be introduced to the importance of understanding temperaments of infants and toddlers through activities, discussion and video. Reflecting on their own temperament and that of the children in their care can help them be more responsive educators who meet the individual needs of infants and toddlers. Sharon Aston, Infant Toddler Specialist, Bright from the Start: Georgia Department of Early Care and Learning, Atlanta, GA

INTRODUCTION TO THE ENVIRONMENT RATING SCALES The Environment Rating Scales are a family of tools that are used to assess quality in child care programs. Participants will be introduced to the Scales and will learn how they are used in programs that are participating in Quality Rated. Lindsay Miller, Quality Rated Assessor, Bright from the Start: Georgia Department of Early Care and Learning, Atlanta, GA

LET’S CHAT! Topics we will cover are: a brief introduction of the deaf culture and information about the benefits of using Sign Language in the classroom setting. Participants will learn some basic hand formations, practice a few signs, and learn how to add a new twist to some well known songs. Alicia Trejo, Assessment Coordinator, Georgia Southern University, Statesboro, GA

To maximize the learning opportunity for each person, please make child care arrangements for your children. Children WILL NOT be permitted to attend training sessions.

EXHIBTIOR OPPORTUNITIES AVAILABLE * de tails $265 FOR REGULAR EXHIBITOR PACKAGE (includes two 6 foot tables, chairs, two lunches, continental breakfasts, conference materials)

$165 FOR ECONOMY EXHIBITOR PACKAGE (includes one 6-foot table, chair, one lunch, continental breakfast, conference materials)

$500 FOR CONTRIBUTOR PACKAGE (includes two 6 foot tables, chairs, two lunches, continental breakfasts, listing as a contributor in all conference materials, and a Quarter Page Full Color Ad in Conference Program, Ad size: 4.25” w x 5.50” h, PDF format, Deadline: January 10, 2015)

on t he we bsit e at Ge orgiaSout he rn.e du/scoc

$1000 FOR SPONSOR PACKAGE (includes two 6 foot tables, chairs, two lunches, continental breakfasts, beverage break, listing as a sponsor in all promotional materials, signage at the conference, one additional table at no charge, Full Page Full Color Ad in Conference Program, Ad size: 8.50” w x 11.0” h, PDF format, Deadline: January 10, 2015 and a large format banner at registration desk and check-in)

$100 FOR EACH ADDITIONAL TABLE $9.50 FOR EACH ADDITIONAL LUNCH COUPON


PAGE 1

DIVISION OF CONTINUING EDUCATION Georgia Southern University

REGISTRATION REQUEST

Mail, fax, email or phone form to:

PROGRAM # 15CAAHS1208A

Continuing Education Registrations P.O. Box 8124 Statesboro, GA 30460-8124 Phone: 855-478-5551 (toll-free) Fax: 912-478-0847 email: CE-Registrations@georgiasouthern.edu

28 Southern Conference on Children th

January 24, 2015 Nessmith-Lane Conference Center, Statesboro, GA

* PLEASE NOTE: Each person will be attending the opening presentation with Jane Kitson in the morning from 8:30 to 9:30 a.m. 9:45 a.m. to 12:45 p.m. and 1:30 to 4:30 p.m. - ALL DAY M O R N I N G AN D AF T E R N O O N S E SS I O N A D VA N C E D T R A C K T R A I N I N G . CHOOSE THIS ALL DAY SESSION. IF YOU PLACE A CHECK BY THIS ALL DAY SESSION YOU WILL ATTEND ONLY THIS ALL DAY SESSION. PLEASE DO NOT SELECT ANY OTHER SESSIONS. CULTURAL COMPETENCY: SUPPORTING DUAL LANGUAGE LEARNERS

9:45 a.m. to 12:30 p.m. ALL M O R N I N G S E SS I O N CHOOSE THIS ALL MORNING SESSION. IF YOU PLACE A CHECK BY THIS ALL MORNING SESSION YOU WILL ATTEND ONLY THIS MORNING SESSION. PLEASE DO NOT SELECT ANY OTHER MORNING SESSIONS. BRIGHT FROM THE START: GEORGIA DEPARTMENT OF EARLY CARE & LEARNING TRANSPORTATION TRAINING

9:45 to 11 a.m. M O R N I N G S E SS I O N S

11:15 a.m. to 12:15 p.m. M O R N I N G S E SS I O N S

CHOOSE YOUR MORNING SESSIONS. PLACE THE NUMBER 1 BY YOUR FIRST CHOICE, THE NUMBER 2 BY YOUR SECOND CHOICE, THE NUMBER 3 BY YOUR THIRD CHOICE AND THE NUMBER 4 BY YOUR FOURTH CHOICE. EVERY EFFORT WILL BE MADE TO PUT YOU IN YOUR FIRST TWO CHOICES.

CHOOSE YOUR MORNING SESSIONS. PLACE THE NUMBER 1 BY YOUR FIRST CHOICE, THE NUMBER 2 BY YOUR SECOND CHOICE, THE NUMBER 3 BY YOUR THIRD CHOICE AND THE NUMBER 4 BY YOUR FOURTH CHOICE. EVERY EFFORT WILL BE MADE TO PUT YOU IN YOUR FIRST TWO CHOICES.

A POCKETFUL OF FUN

ADD A SLICE OF MUSIC....ADD A SLICE OF FUN!

TOUCH, TODDLE AND TALK

5 MORE MINUTES! WAIT! HURRY UP! THE DOS AND DON’TS OF TRANSITIONS

HOW TO UTILIZE YOUR COMMUNITY RESOURCES PARTNERSHIPS THE “HOW AND WHY” OF USING POSITIVE GUIDANCE WITH CHILDREN WHO’S AFRAID OF TECHNOLOGY?: EXPLORING THE USE OF TECHNOLOGY IN THE EARLY CHILDHOOD CLASSROOM BRIGHT FROM THE START – ADAPTATION FOUNDATIONS: INCREASING CHILDREN’S ENGAGEMENT AND PARTICIPATION

PROMOTING HEALTHY HABITS WITH NUTRITION AND EXERCISE FOR PRESCHOOL CHILDREN THE “HOW AND WHY” OF USING POSITIVE GUIDANCE WITH CHILDREN WHO’S AFRAID OF TECHNOLOGY?: EXPLORING THE USE OF TECHNOLOGY IN THE EARLY CHILDHOOD CLASSROOM

DIRECTORS PANEL

BRIGHT FROM THE START – ADAPTATION FOUNDATIONS: INCREASING CHILDREN’S ENGAGEMENT AND PARTICIPATION

MIRRORS, MOVEMENT, AND MORE: LEARNING CENTERS IN THE INFANT CLASSROOM

DIRECTORS PANEL MIRRORS, MOVEMENT, AND MORE: LEARNING CENTERS IN THE INFANT CLASSROOM

1:30 to 4:15 p.m. ALL AF T E R N O O N S E SS I O N CHOOSE THIS ALL AFTERNOON SESSION. IF YOU PLACE A CHECK BY THIS ALL AFTERNOON SESSION YOU WILL ATTEND ONLY THIS AFTERNOON SESSION. PLEASE DO NOT SELECT ANY OTHER AFTERNOON SESSIONS. STANDARD 101: HOW TO USE THE GELDS

1:30 to 2:45 p.m. AF T E R N O O N S E SS I O N S

3 to 4:15 p.m. AF TE R N O O N SE SS I O N

CHOOSE YOUR AFTERNOON SESSIONS. PLACE THE NUMBER 1 BY YOUR FIRST CHOICE, THE NUMBER 2 BY YOUR SECOND CHOICE, THE NUMBER 3 BY YOUR THIRD CHOICE AND THE NUMBER 4 BY YOUR FOURTH CHOICE. EVERY EFFORT WILL BE MADE TO PUT YOU IN YOUR FIRST TWO CHOICES.

CHOOSE YOUR AFTERNOON SESSIONS. PLACE THE NUMBER 1 BY YOUR FIRST CHOICE, THE NUMBER 2 BY YOUR SECOND CHOICE, THE NUMBER 3 BY YOUR THIRD CHOICE AND THE NUMBER 4 BY YOUR FOURTH CHOICE. EVERY EFFORT WILL BE MADE TO PUT YOU IN YOUR FIRST TWO CHOICES.

BACK TO BASICS BOOT CAMP - CORE RULES

BACK TO BASICS BOOT CAMP - CORE RULES

PACKING THE BACKPACK; ADDING SPIRITUAL DEVELOPMENT AS AN ESSENTIAL DOMAIN

THE SOCIAL AND EMOTIONAL DEVELOPMENT OF INFANTS AND TODDLERS: UNDERSTANDING TEMPERAMENTS

PROVIDER MANAGEMENT AND PAYMENTS

INTRODUCTION TO THE ENVIRONMENT RATING SCALES

QUALITY RATED ORIENTATION

GET UP AND MOVE SOMETHING

GET UP AND MOVE SOMETHING

STRENGTHENING FAMILIES GEORGIA: AN EFFECTIVE APPROACH TO SUPPORTING FAMILIES AND COMMUNITIES

STRENGTHENING FAMILIES GEORGIA: AN EFFECTIVE APPROACH TO SUPPORTING FAMILIES AND COMMUNITIES TRASH TO TREASURES

TRASH TO TREASURES LET’S CHAT!


PAGE 2

DIVISION OF CONTINUING EDUCATION Georgia Southern University

REGISTRATION REQUEST

Mail, fax, email or phone form to:

PROGRAM # 15CAAHS1208A

Continuing Education Registrations P.O. Box 8124 Statesboro, GA 30460-8124 Phone: 855-478-5551 (toll-free) Fax: 912-478-0847 email: CE-Registrations@georgiasouthern.edu

28 Southern Conference on Children th

January 24, 2015 Nessmith-Lane Conference Center, Statesboro, GA

Please complete this registration form and feel free to duplicate this form and provide one form for each person registering. NOTE: Space in this program fills quickly. If you have not enrolled within 48 hours prior to the program, please call 912.478.5551 to confirm available space..

1. Registrant Information Name: Last

First

MI

Employer/Organization: Title: Address o Home

o Work:

City: State: ZIP: Cell Phone #:

Home Phone #:

FAX #:

email (Required for e-mail receipt):

2. Amount Due

* Please note, payment must be received by the deadline date indicated or you will be billed for the balance.

o $45 if payment is received on or before 1/10/2015 at 5 p.m. $ o $75 if payment is received after 1/10/2015 at 5 p.m. $ o $90 on site $ o $7.50 Chick-fil-A Box Lunch (includes Chicken Sandwich, Chips, Cookie, and a Drink) PRE-ORDER ONLY! $

Total $

3. Method of Payment

o Personal check (Payable to Georgia Southern University) (include attendee’s name, course number, and course date on all checks.) o Organization check (Payable to Georgia Southern University) o Credit Card o personal o VISA

o corporate

o MASTERCARD

o AMEX

o DISCOVER

Account Number: Expiration Date: Security code: Cardholder’s Name: (please print) Signature: SPECIAL ACCOMMODATIONS: For special assistance, please request accommodation needs at least 14 working days in advance of the program. REFUND POLICY: Cancellation requests should be received by 5 p.m., 1/18/2015. A $25 processing fee will be charged to process all cancellations. Substitutions are encouraged. Absolutely no refunds will be made after the conference. Please contact ce-registrations@georgiasouthern.edu. for information.


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