Registration Form for November 19, 2010 Conference
Print and complete this form to register to attend the November 19, 2010 Tutor/Mentor Leadership and Networking Conference which will be held at U.S. Cellular Field, 333 W. 35th Street, Chicago, Il. 60616.
Submit one form for each person that you are registering.
Name:_____________________________________________
Title:_____________________________________________
Organization:_____________________________________
Address:__________________________________________
City:_________________State:________Zip:__________
Phone:_______________________
Fax:_________________________
Website:__________________________________________
E-mail*:___________________________________________
*By providing your email address, you agree to be added to a mailing list for
important Conference announcements and information. You can unsubscribe
from this list at any time.
____ Please check to request a vegetarian lunch.
____ Please check to be added to the online attendee list which enables
other contact participants to contact you via a form on the Conference Web site.
Your email address is not shared through this process.
Registration fees
Registration Fees:
____Friday, November 19, Single day conference registration - $60
Walk-In
Registration Fees (Register the day of the Conference):
Single day registration - $75 (check
or cash only)
Scholarships and group discounts are available. Please
contact us
for scholarships or group rate information.
How will you pay for this registration?
__ Online via PayPal (click here for
PayPal)
__ By Mail (check)
__ At the Door (cash or check only)
Please make checks payable to Cabrini Connections, Tutor/Mentor Connection
and mail payment to Karina Walker at
Cabrini Connections
Tutor/Mentor Connection
800 W. Huron
Chicago, IL 60642
Fax 312-492-9795
Please Note: With advance written notice (fax or email), we will
refund the registration fee, less an administrative cost of $25 per day
registered. There will be NO refunds for "no shows" on the day of the Conference
and you will be responsible for the full registration fee.
Thank you for your registration. Registrations received by one week prior to the
Conference will be
confirmed via fax or email.
Cabrini Connections is a 501 (c) (3) tax-exempt non-profit. Our tax ID # is
36-3893431.
