The Archbishop James M. Hayes Symposium
Trauma / Suffering and Resilience
May 15, 16, and 17, 2017
Registration Form
Please complete and return with your payment, to:
Mail Ms. Falen McNulty
Administrative Assistant (Hayes Symposium)
Atlantic School of Theology
660 Francklyn Street
Halifax, NS B3H 3B5
Email hayes@astheology.ns.ca
Fax 902-492-4048
Surname __________________________Given Name (s)_______________________
Address ______________________________________________________________
City __________________________________ Province _______________________
Postal Code _________________________ Phone ____________________________
Email ________________________________________________________________
I would like to receive information about upcoming AST events: Yes _____ No ____
Please indicate any dietary restrictions ______________________________________
____________________________________________________________________
Registration Options
You are welcome to attend one, two, or three days of the Symposium:
Monday, May 15 1:00-4:45 pm, 7:00-9:30 pm
Tuesday, May 16 9:00-12:30 pm, lunch, 1:30-4:30pm
Wednesday, May 17 9:00-12:30 pm,
PRICES AND DEADLINES
Prices include refreshments and lunch(es), excludes reception on May 15
Regular
|
Before May 1
|
After May 1
|
3 Days M, T, W
|
$230
|
$250
|
2 Days MT TW MW
|
$175
|
$195
|
1 Day M or T or W
|
$90
|
$100
|
Graduate Students
|
Before May 1
|
After May 1
|
3 Days M, T, W
|
$90
|
$100
|
2 Days MT TW MW
|
$70
|
$80
|
1 Day M or T or W
|
$50
|
$60
|
Monday Evenings Talk by LGen Dallaire (Ret’d) is open to the general public. There is no charge for that portion of the event. Though we still ask you to register for this part as well.
Date of Registration ____________. I am a: regular participant _____ /student _____
I will attend the Symposium on the following day(s):
(Please mark one, two, or three days)
Mon, May 15 ____ Evening _____Tues, May 16 ____ Wed, May 17 _____
at the rate of ________ ($)
I would like my attendance to count in AST’s Continuing Education Unit program
(one day = 0.6 CEUs; two days = 1.2 CEUs; three days = 1.8 CEUs)
Please add $20 to my total for this certification.
Registration Total ___________($)
Payment Methods
Cheque (payable to Atlantic School of Theology)
Credit Card Visa MasterCard
Card No.
Expiry _____________________ Signature ______________________________
Refund Policy or cancellations received on or before May 8, 2017, a full refund is available minus a $25 administration fee. No cancellations will be accepted after May 8, 2017. Substitutions will be permitted if AST is notified on or before May 8, 2017. All cancellations or substitutions must be in writing and sent to hayes@astheology.ns.ca.
Thank you for your registration
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