BASIL REGISTRATION FORM           

Behavior Analysis Society of Illinois

19th Annual Conference

~2007~

DATES: April 5, 6 & 7

Wyndham Hotel, Lisle

3000 Warrenville Road

Lisle, IL  60532

(630) 505-1000


Please complete one registration form per attendee.

Please provide the following contact information:

First Name

Last Name

incl: PhD, MS, BCBA, etc.

Affiliation/Agency
Phone
E-mail
Street Address
Address (cont)
City
State/Province Zip Code
  1. Choose one of the following options:

    Fees are based on registration for all 3 days.

    Registration fees do not include "workshop" fees.

    Associate/Professional ($85)
    Student/Direct Care Staff ($55)
    Parent of a Child w/Disability ($50)
    3 + from same agency/team ($65/pp)  Name of agency/team

    Check here if you are presenting at the conference.

            Registration fees are waived. Workshop fees apply. Please consider a donation.

     

  2. Workshops: $95 per workshop

     

    Instructional Methodologies: Combinations that Work, Teresa Grimes MS BCBA & Steven Ward MA BCBA

    Intro to VB for Spanish Speaking Families, Gabriela Sierra BA, ABA Midwest, Ltd.

    Introduction to Verbal Behavior Programming and the ABLLS-R for Children with Autism

         Selma Martinez M. S. Ed, BCBA & Janice Pellecchia MA, BCBA, Autism Specialists of Chicago Inc.

     

    Teaching Complex Social Skills to Individuals w/ Autism: Curriculum Areas and Programming Strategies

          Rachel S.F.Tarbox, PhD BCBA
     
     

     


   3. Comments


Due Date: March 19, 2006 Due date is based on postmark.  Late registration will incur a $10 late registration fee per person.

 

  • Make checks payable to: "BASIL"

  • Late registration will incur a $10 late registration fee per person.

Correspondence Address

Do not send payment!

Fees will be collected at the conference.

BASIL

c/o Selma Martinez

30 E Huron, #1106

Chicago, IL 60611

Accommodations

Wyndham Hotel, Lisle

3000 Warrenville Road

Lisle, IL  60532

(630) 505-1000

Questions/Comments: basil@abachicago.com

                            

Copyright © 2006 [BASIL]. All rights reserved. Revised: 03/12/07