2016 Conference
‘Mental Health for Young People: Creating
Positive Futures’
ACCSSQ
School Counsellors
Annual
Conference
REGISTRATION FORM
1st June-3rd June
2016
t
Palm Meadows Drive
Carrara Qld 4211
Members of the public and
professional bodies are invited to attend the Conference
Contact:
Treasurer ACCSSQ
Jorge Ruiz
Marist College Ashgrove
P.O. Box 82
ASHGROVE QLD 4060
ruizj@marash.qld.edu.au
Ph: 3858
4609
Fax: 3858 4502
Website: http://www.bne.catholic.edu.au/ACCSSQ
Please note:
·
Prices have not changed from last year in an effort to keep costs down for attendees.
·
QGCA Member discount of $30 per day
·
A $150 Travel Subsidy will be offered to anyone who is required to fly to
the Conference, and assistance will also be offered with transport to and from
the Gold Coast Airport.
·
Special circumstances will be considered on request. Please
contact Jorge Ruiz (Treasurer) if you wish to apply (see Registration Form
attached).
·
Early
bird discount can be confirmed by sending your registration form immediately
to Treasurer Jorge Ruiz. We understand it often takes time to process
applications through school finance and this assists us with bookings
REGISTRATION FORM/TAX INVOICE
ABN 38 831 837
650
SECTION
A: REGISTRATION DETAILS
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NAME: POSITION
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SCHOOL:
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ADDRESS:
POSTCODE:
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PHONE: FAX: EMAIL:
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Early Bird
by 13/5/16
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1.
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Whole Conference
Package Two nights Single
(Wed &Thurs) Accom/meals/conference
dinner
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$745
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$770
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2.
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Whole Conference Package Two Nights
Twin Share
(Wed& Thurs) Accom/meals/conference dinner
Please organise a shared accommodation
***** I have organised to share with ______________________
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$545
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$570
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3
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Whole Conference Package –One night Single Accommodation/meals/conference dinner]
Wednesday night or Thursday Night
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$545
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$570
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4
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Whole Conference Package – One night Twin Share
Accommodation/meals/conference dinner
Wednesday Night or Thursday Night
Please organise a shared accommodation
*******I have organised to share with_______________________
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$445
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$470
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5
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Two Day
Registration [Thursday and Friday]
Lunch and Conference
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$245
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$260
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6
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One Day
Registration:
Thursday or
Friday
Student Rate $95 Thursday/ $75 Friday Lunch and
Conference
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$145
$100
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$160
$135
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7
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Conference Dinner ( ONLY additional for day registration)
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$90
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8
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Non- Conference Partner
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$20pn
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9
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Discount/s
1. Current financial member of QGCA less $30 per
day
2. Travel Subsidy for flying
(to be confirmed with Treasurer)
3. Special
Circumstances (to be confirmed with Treasurer)
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TOTAL
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***
Note: If you wish to twin share with a non-conference partner please indicate.
You
will need to pay a small additional fee for Twin share and breakfast -$20 p.n. (if
breakfast is pre-booked)
Please
include in your TOTAL
URGENT: To make secure your early bird discount
please immediately fax/scan a copy of this registration Form Section A to :
Jorge Ruiz Treasurer ACCSSQ Marist College
Ashgrove
ruizj@marash.qld.edu.au Ph. 3858 4609 Fax 3858 4502
SECTION
B: PAYMENT DETAILS
Name of Applicant
……………………………………
TOTAL COST …………………………
Please return completed
Registration Form -Section A and Payment Details- Section B with payment to:
Jorge Ruiz Treasurer ACCSSQ
Marist College
Ashgrove
P.O. Box 82
ASHGROVE QLD 4060
ruizj@marash.qld.edu.au Ph. 3858 4609, Fax 3858 4502
PLEASE INDICATE PAYMENT METHOD
1. Cheque made
payable to: ACCSSQ:
2. Direct Debit:
The Association
of Counsellors of Catholic Secondary Schools of Queensland
BSB
034-072 – Account Number 11 8062
For Direct Debit please send remittance Notice