Incredible Years Wales:
The Welsh Centre for Promoting the Incredible Years Programmes
‘Promoting the Webster-StrattonIncredible Years Parent,
Child and Teacher Programmes
in Wales.’
Monday 23rd - Wednesday 25th January, 2006
Y Galeri, Victoria Dock, Caernarfon
Personal Details
Title
First Name
Surname
Institutional Affiliation (for name badge)
Preferred first name on badge
Address
Daytime telephone number
Fax
E-mail
Special Requirements i.e. dietary
Consultation and Conference Fees include lunch and refreshments (accommodation not included)
Monday 23rd January
Registration Fee Conference £100
Student and Voluntary Organisations £50
£
Monday 23rd January
Conference Dinner (Celtic Royal Hotel, Caernarfon) £20
£
Tuesday 24th January
Registration Fee Parent Consultation Day £125
£
Tuesday 24th January
Registration Fee for Adoption Workshop (half day) £50
£
Wednesday 25th January
Registration Fee Child Consultation Day £125
£
(Please enter amount)
Payment Details
1. Cheque Payment:
I enclose a sterling cheque or banker’s draft (drawable on a UK bank) for £
made payable to “Incredible Years Wales”
2. Invoice:
Please invoice me for £
Purchase order number:
Organisation:
FAO:
Address:
To register, please return this form by Friday, December 16th 2005 to
Dilys Williams,
Incredible Years Wales,
Room 801-809,
8th Floor Alun Roberts Building,
University of Wales, Bangor,
Gwynedd,
LL57 2UW.
Tel: 01248 383758
Fax: 01248 382652
E-mail: d.williams@bangor.ac.uk