Catholic District School Board * Please Choose Your BoardAlgonquin & Lakeshore CDSBBrant Haldimand Norfolk CDSBBruce-Grey CDSBCDSB of Eastern OntarioDufferin-Peel CDSBDurham CDSBHalton CDSBHamilton-Wentworth CDSBHuron-Perth CDSBHuron-Superior CDSBKenora CDSBLondon DCSBNiagara CDSBNipissing-Parry Sound CDSBNortheastern CDSBNorthwest CDSBOttawa CSBPeterborough Victoria Northumberland & Clarington CDSBRenfrew County CDSBSimcoe Muskoka CDSBSt. Clair CDSBSudbury CDSBSuperior North CDSBThunder Bay CDSBToronto CDSBWaterloo CDSBWellington CDSBWindsor-Essex CDSBYork CDSB Last Name * First Name * Email Address (must be for registrant) * Job Title * Please indicate your job titleChairVice ChairDirector of EducationTrusteeStudent TrusteeOther (please specify below) Other Job Title - if not listed above (PLEASE ENTER EXACTLY AS IT SHOULD BE ON THE BADGE) * Registration Information 1) Early Bird Fee (cheque received by December 4, 2015): $327.70 ($290.00 + $37.70 HST) 2) Regular Fee (cheque received after December 4, 2015): $350.30 ($310.00 + $40.30 HST) 3) Student Trustee Fee: $226.00 ($200.00 + $26.00 HST) 4) Spousal/Guest Dinner Ticket: $84.75 ($75.00 + $9.75 HST) - gratuity included Registration Fee (please select one below) * Early Bird Fee - $327.70 Regular Fee - $350.30 Student Fee - $226.00 Additional Annual Dinner Ticket (please select one below) * One Additional Dinner Ticket - $84.75 No Additional Dinner Ticket - $0 Total Due Board Contact Name: * Board Contact Email * Do you have any food allergies or dietary requirements (not preferences)?
