The BAEYC Old Colony Chapter 19th Annual Early Childhood Conference
Personal Pathways to Professionalism

Registration Form
complete one form per person

Last/First Name         
Home Address           
Daytime Phone                               Email          
Agency/Organization         Professional Position 

Please indicate two workshops per session in order of preference. 
Workshops will be assigned on a first come/first served basis.  Fire
codes and presenters’ requests determine the maximum number of
attendees in a workshop.  Please be considerate and do not attend a
workshop in which you are not registered.

Session A               

Session B               

Pre-Registration (includes Lunch)

                               NAEYC                    Non-                   Student
                               member                 member

Individual             $55.00                     $70.00                   $35.00

Group (4 or            $50.00                   $65.00                   $35.00
more staff
from same
agency)

NAEYC member number (if applicable)    
Student ID (if applicable)                          

Payment Options:
      Mail payment to:          Educator Resource and Enrichment Center
                                         Hart Hall Rm. 125
                                         Bridgewater State University
                                         Bridgewater, MA 02325
                                         Attn:   BAEYC Conference

       Credit Card:                Call Student Services, (508) 531-1225 - reference the conference and
                                         be prepared to indicate the payment amount.

Walk-in Registration -  if space allows $75.00 (does not include lunch)