2010 ASIHSC Registration

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2010 ASIHSC Registration
(to appear on name badge)
(to appear on name badge)
Format example: November 4
(for UPEI Accounting Office purposes only)
Note: The costs of each are included in the registration fee.
The Atlantic Summer Institute on Healthy and Safe Communities may take photo and video footage of me during the event. The Atlantic Summer Institute may use my name and images taken of me in any media and territory for perpetuity.
The Atlantic Summer Institute on Healthy and Safe Communities may use my personal contact information for future communication. My contact information may also be listed in institute materials given to Institute participants (Privacy legislation permits the use of organization’s name, business address or telephone number – refer to the Institute’s privacy policy for more information).
Pre-Institute Activities
You have the opportunity to participate in three Pre-Institute activities, on August 17. Separate fees are charged for some of these events. For additional information on the pre- Institute activities, please contact Michelle at (902) 894-3399 or asi@thequaich.pe.ca

Pre-Institute activities can be accessed by clicking Pre-Institute Pathway or Pre-Institute Resilient Communities or Pre-Institute Portal Training.
*Includes lunch on August 17
**Payment in full must be received by June 30, in order to receive the early bird rate.
*NOTE: For payment by credit card or cheque, please see How to Register and Payment Process in the Summary Section of this Registration Form.
Curriculum Workshops
Click on the following link to view curriculum descriptions to help you choose your first and second workshop preference. These choices only apply to ASI 3-Day registrants (August 18-20).
Spaces in each workshop are limited and are on a first-come, first-serve basis. Final workshop descriptions and presenter profiles will be posted on the Institute website in June.
Children's Program August 18-20
The children's program is designed for children ages 3-14 and is free for children of participants registered for the full ASI program. The program is staffed by certified early childhood educators. This year, children will be learning about collaboration and how they can help to create a resilient community. Click here for information.
Simultaneous Translation
The Institute provides simultaneous translation for most of its activities, as indicated in its detailed program. In order for you to have the best experience at the Institute, please provide the following information:
Participant Questionnaire
To assess the effectiveness of the Atlantic Summer Institute, an extensive evaluation is being conducted. A key part of this evaluation includes collecting up-front information from Institute participants. Your participation is completely voluntary, but if you could please take the time to answer the following questions it would be greatly appreciated.

Read through the following questions. Check off or fill in the answer that best applies to you.
Another part of the evaluation process includes conducting a follow-up evaluation survey several months after the Atlantic Summer Institute to assess the impact that the Institute has had on your practice and/or the way in which you and your organization work across sectors.
NOTE: Please click the "SAVE" button below to submit your completed registration form to the registration coordinator.