BAAM Student Member Registration Form

Preregistration form for the BAAM 2009 Convention for Students*

Online preregistration for BAAM 2009 is now closed.
Registration at the door will be available.

*Only students from accredited institutions are eligible for the student rate. Proof of student status may be required.
If you are not a student, you should click here to go to the regular preregistration form.

Contact Information

First Name

Middle Initial

Last Name

Affiliation

Address

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

Fax

E-mail

Affilation part of address?

Check if "yes."

Convention Registration Information*

Days of Attendance

Thursday Only ($20)
Friday Only ($20)
Both Days ($30)
Special single-session rate for approved introductory student projects ($5)*

* This last item above is not the regular student rate. This option is designed for students who attend a single designated session for course-enrichment purposes. It is open only to students from course sections preauthorized by BAAM. For more information, contact BAAM.

Membership

Check if you paid a membership 2008 prior to registering (subject to verification by BAAM).

Workshops*

Workshop 1: Amy Matthews (Universal Supports for ASD; Thurs 1:30 pm - 4:30 pm) $25
Workshop 2: Krista Kennedy (Feeding Difficulties; Thurs 10:30 am - 1 pm) $30
Workshop 3: Barbara Esch (Establishing ABA in School Settings; Friday 10 am - 4 pm) $80

Enter these numbers in the space below:

(This is a security measure to prevent automated entries into this form)

CLICK JUST ONCE--PROCESSING CAN TAKE UP TO ONE MINUTE

*Important Information: Basic Registration rate provides attendance to all sessions except workshops. Workshop fees are extra. A one-year BAAM Student Membership is included in registration fee. If you previously joined BAAM by mail, BAAM will credit the difference on your registraton fee.

You may pay by sending a check directly to BAAM or using cash, check,
Mastercard or Visa at the door. (Sorry no Discover or American Express yet.)
Make check out to "Behavior Analysis Association of Michigan"

Interactive submission features, CGI programming, and site maintenance by James T. Todd