September 24-25, 2010
Park Central Hotel
New York City

Presented by:
Adoption Crossroads
Adoption Healing
with
Baby Scoop Era Research Initiative
Origins, Inc. Australia
Origins, Canada

for further information:
info@adoptionhealing.com
or call 914-420-4880

Conference Attendance Options

INSTRUCTIONS:  Click the circle next to the                            Submit          Submit           Submit            Submit
appropriate  fees & fill in the payment information           by 4/22          by 6/15            by 8/15             after 8/15

Shedding Light on the Adoption Experience, VI

An Educational Conference about Realities: The Lifelong Effects of Adoption and the Need for Family Preservation

Home | Featuring | Friday AM | Friday PM | Saturday AM | Saturday PM | Register | Hotel & Dining                                                                                 

Conference Registration

We need many volunteers for hospitality, registration, book room, etc. Volunteers will get 1/2 day of conference free for each half day they work. Email us for details

Personal Information











I am:

Full Conference Registration includes admission                      150         180           210          240
to Plenary Sessions, 2 days of seminars, Exhibit
Hall, Support Group, Nightly Hospitality Suite,
Saturday Evening Banquet.

To attend without the banquet, deduct $50 from the above fees

**Student fee - Banquet not included                                                 50            75            100            125

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One Day Conference Registration includes admission              75            90           115           140
to 1 day of Plenary Sessions, 1 day of seminars,
Exhibit Hall, Support Group, Hospitality Suite



**Student fee - Banquet not included                                                   30            40            60             75

 Select Your Day

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Saturday Evening Banquet & Entertainment             85

I'm a presenter. attending 2 days, paying for 1            

Meal Selection             (You must have registered for the full conference
                                                                                                                              or be paing forthe meal separately)

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You must complete the Seminar Selection
                                                                            Friday                                                                                Saturday

                               Set 100 Friday AM        Set 200 Friday PM         Set 300 Saturday AM         Set 400 Saturday PM

   1st Choice                                                                                                                

   2nd Choice                                                                                                              

We would like to suggest that you use terms such as "mother," "natural mother," or "first mother(other examples are "parent," 'first father," "natural family," etc.) in presentations, as opposed to using "birth" prefixes. An increasing number of mothers of adoption loss and adoptees experience this prefix as offensive and oppressive). Thank you!
** Students must send verification of full-time status (copy of registration) for fall of 2010
 or letter of acceptance to degree-granting program in the mental health. Adoption Crossroads and Adoption Healing are not responsible for changes in speakers or seminars.

For more information E-mail us at info@sheddinglightonadoption.com
or call 845-268-0283 in the afternoon only.

Your registration maybe submitted by pressing the Send Form button below  or printed out and mailed or faxed to us at: 845-267-2736. 
Each person must submit a separate form.

Adoption Healing
74 Lakewood Drive
Congers, NY 10920
845-268-028

Copyright 2010 Shedding Light on Adoption

Payment Information
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Requests must be made in writing and postmarked by 9/1/2010 and are subject to a $50 service charge aside from the banquet fee. After 9/1/2010, refunds will be made for serious medical emergencies and ONLY If received by 09/22/2010 and subject to a $75 service charge aside from the banquet fee. All refunds will be processed after the conference.

We suggest you take out travel insurance to protect yourself in case you are unable to attend.