Evolved Learning

EVOLVED LEARNING CONFERENCE

“Discover Your Potential”
presented by the F.A.M.E. Foundation

June 3 - 5, 2008
The Tucson Osteopathic Medical Foundation
3182 North Swan Road, Tucson, Arizona 85712

Continental Breakfast and Lunch are provided all three days.

Please Note:
This is an intimate conference
with registration up to 60 participants.
Please register as soon as possible to reserve your space

REGISTRATION INFORMATION

Last Name

First Name

Middle Name or Initial

Are you on staff with an Early Childhood Program?	Yes	No
Are you on staff with an Elementary School?	Yes	No
Are you on staff with a Middle School?	Yes	No
Are you on staff with a High School?	Yes	No
Are you on staff with a University?	Yes	No
Are you a University student?	Yes	No
Are you attending as a home school parent?	Yes	No

Program or School Name (if you are a home school parent, please type “Home School”
Title of Position


Mailing Address
City	State	Zip Code
Home Phone with area code
Work Phone with area code
Fax
Email Address
Website (if applicable)

REGISTRATION FEES
I am registering for:

	SUPER EARLY BIRD PRICE:
$300 per person (before May 11, 2008)
	EARLY BIRD PRICE:
$400 per person (before May 25, 2008)
	LATE PRICE:
$450 per person (after May 25, 2008)
Note: To secure your registration you must place a non-refundable 50% deposit. PAYMENT OPTIONS Check Check # Note: Please make checks out to “Evolved Learning” Credit Card via Paypal