April 2018 ASD Transition Day Registration Form

This workshop will take place on Wednesday, April 25th, from 9:30am to 3:30pm, at York University's Keele Campus. Registration will open at 9am.

Name of Student attending: Name of Student attending: * First Last
Please indicate "None" if student will not be attending.
Name of Parent/Guardian/Service Provider attending Transition Day: Name of Parent/Guardian/Service Provider attending Transition Day: * First Last
Relationship to student: *

Relationship to student: Parent Teacher Guardian Other
If applicable, name of additional Parent/Guardian/Service Provider attending ASD Transition Day: If applicable, name of additional Parent/Guardian/Service Provider attending ASD Transition Day: First Last
Relationship to Student:

Relationship to Student: Parent Teacher Guardian Other
Email address we can contact to confirm registration and event details/directions: *
Phone Number: Phone Number: - ### - ### ####
Student attending is currently in grade: *

Student attending is currently in grade: 10 11 12 Other
Name of High School student is currently attending: *
School Board Student is currently registered with: *
If you are a service provider registering multiple students, please indicate the names and grade levels of the additional students here:
Are there any educational accommodations we can provide at the workshop? *
Please indicate any dietary restrictions of participants: *
Registration Fee:
The cost for this workshop is $25.00 per person attending. This fee is to cover the cost of information packages, morning refreshments and a light lunch. Payment must be made in the form of a cheque or money order made payable to York University. Cheques can be mailed to ASD Transition Day, Student Accessibility Services, York University, W128 BCSS, 4700 Keele Street, Toronto, Ontario, M3J 1P3. *

Registration Fee:
The cost for this workshop is $25.00 per person attending. This fee is to cover the cost of information packages, morning refreshments and a light lunch. Payment must be made in the form of a cheque or money order made payable to York University. Cheques can be mailed to ASD Transition Day, Student Accessibility Services, York University, W128 BCSS, 4700 Keele Street, Toronto, Ontario, M3J 1P3. I agree to send a cheque made payable to York University to cover the registration fee for each person attending ($25 per person)
Payment must be received at least 1 week prior to the date of the workshop.
Refunds will be processed up to 2 weeks before the date of the workshop.

Payment must be received at least 1 week prior to the date of the workshop.
Refunds will be processed up to 2 weeks before the date of the workshop. I understand that payment must be received by Wednesday, April 18, 2018. I understand that refunds will be processed up to Wednesday, April 11, 2018. Funds cannot be returned after this date.