State Technology Conference - Washington State Alliance of Boys & Girls Clubs

Washington State Technology Conference Registration Form (Alliance Members)
June 1-3, 2006 » Bellevue, WA

Registration
Each person who plans to attend the conference must complete a registration form. Due to the generosity of the Bill & Melinda Gate Foundation, all hotel and registration fees are waived for Clubs participating in the Bridging the Digital Divide grant. Registration deadline is May 1, 2006. If you have any problems with this registration form, please contact training@waabgc.org.

Conference Attendee Information

First Name:
Last Name:
Title:
Organization:
Branch/Unit:
Telephone:
E-Mail:	NOTE: Registration confirmation is sent to the e-mail address provided.
What is your length of service in the Boys & Girls Club Movement?
How long have you been in your current position?

Conference Sessions
Conference attendees are welcome to attend any of the conference sessions listed in the schedule. However, several tracks require pre-registration and approval for participation. Please indicate your participation interests below. Please note times are subject to change.
	Washington State Alliance of Boys & Girls Clubs Executive Meeting and Training Thursday, June 1, 2006 10:00 a.m. - 2:00 p.m.
	Technology Program Leadership Institute Thursday, June 1, 2006 - Saturday, June 3, 2006 Registration limited to 12 participants.
	Experts' Roundtable: Technology Programming Thursday, June 1, 2006 10 - 11:00 a.m. Registration limited to 10 participants.
	Experts' Roundtable: Technology Programming Friday, June 2, 2006 11:15 a.m. - 12:15 p.m. Registration limited to 10 participants.
	Experts' Roundtable: Networking & Infrastructure Thursday, June 1, 2006 11:15 a.m. - 12:15 p.m. Registration limited to 10 participants.
	Experts' Roundtable: Networking & Infrastructure Friday, June 2, 2006 10:00 - 11:00 a.m. Registration limited to 10 participants.
	Experts' Roundtable: Techathalon WA Thursday, June 1, 2006 11:15 a.m. - 12:15 p.m. Registration limited to 10 participants.
	Experts' Roundtable: Mentors & Masters Friday, June 2, 2006 11:15 a.m. - 12:15 p.m. Registration limited to 10 participants.

Accommodations Request

Arrival Date:
Departure Date:
Do You Need a Hotel Room:
Club professionals from the same organization will be asked to share a room during the conference. Please list (in order of preference) those individual(s) from your organization you would like to share a room with. If you have no preference, please leave the fields blank. While our conference team does our best to accommodate your request, we cannot guarantee any request.
Roommate Preference 1:
Roommate Preference 2:
Roommate Preference 3:
Meal Preference:	Allergy to shellfish and fish Bland Meal Diabetic Meal Gluten Free Meal No Red Meat Vegan Meal (no dairy) Vegetarian Meal
Special Requests:

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