Package preferences

Please choose your preferred packages

Choice of Conference Package:

3-night Conference Package (April 25-28, 2010)

4-night Conference Package (April 25-29, 2010)

New York area schools participant

Please choose occupancy:

Single occupancy;

Double occupancy;
      Please provide roommate's name:

Triple occupancy;
      Please provide first roommate's name:
      Please provide first roommate's name:

(Please make sure a full registration is submitted for your roommate as well!)

Would you like us to assist with booking your airfare?

Yes, please contact me to discuss details. City of departure:

No, I will arrange it myself

Do you have any special requests (such as wheelchair assistance on the flights)?
If yes, please elaborate briefly:

Personal information

Name (as it appears in your passport)

Last name:   First name:   Middle name:

Registrant Category: Please select one Lasallian School Leader District Administrator Guest School Leader

What school / district do you represent? 

Date of birth: (DD/MM/YYYY)

Gender: Male Female

Dietary or other restrictions:
(i.e.: vegetarian, vegan, food allergies, etc.)

Mailing Address

Street:   City:

State:   ZIP:   Country:

Telephone number (please provide the best number to reach you at):

What number is this? officehomecell

Email address: