Please Choose Your Board * Please Choose Your Board Algonquin & Lakeshore CDSB Brant Haldimand Norfolk CDSB Bruce-Grey CDSB CDSB of Eastern Ontario Dufferin-Peel CDSB Durham CDSB Halton CDSB Hamilton-Wentworth CDSB Huron-Perth CDSB Huron-Superior CDSB Kenora CDSB London DCSB Niagara CDSB Nipissing-Parry Sound CDSB Northeastern CDSB Northwest CDSB Ottawa CSB Peterborough Victoria Northumberland & Clarington CDSB Renfrew County CDSB Simcoe Muskoka CDSB St. Clair CDSB Sudbury CDSB Superior North CDSB Thunder Bay CDSB Toronto CDSB Waterloo CDSB Wellington CDSB Windsor-Essex CDSB York CDSB Last Name * First Name * Job Title * Please indicate your job title Chair Vice-Chair Trustee Director of Education Student Trustee Other - Please specify below. Other Job Title - if not listed above (PLEASE ENTER EXACTLY AS IT SHOULD BE ON THE BADGE) * Email Address (must be for registrant) * Registration Information 1) Early Bird Fee (cheque received by March 18, 2016): $665.57 (589.00 + $76.57 HST) 2) Regular Fee (cheque received after March 18, 2015): $733.37 (649.00 + $84.37 HST) 3) Student Trustee Fee: $395.50 ($350.00 + 45.50 HST) Additional dinner ticket: $101.70 ($90.00 + $11.70 HST) - gratuity included Registration Fee (please select one below) * Early Bird Fee - $665.57 Regular Fee - $733.37 Student Trustee Fee - $395.50 Additional Annual Dinner Ticket - (please select one below) * One additional ticket - $101.70 No additional ticket - $0 Total due: Do you have any food allergies or dietary requirements (not preferences)? Board Contact Name: * Board Contact Email *