Registration for the 2008 Kansas MTSS Symposium

The Kansas Multi-Tier System of Supports (MTSS) Symposium
Hyatt Regency Wichita
400 West Waterman
Wichita, Kansas
Conference: September 4-5, 2008

Presented by:
The Kansas State Department of Education
in collaboration with
Technical Assistance for Excellence in Special Education (TAESE)/Mountain Plains Regional Resource Center (MPRRC);
National Association of State Directors of Special Education (NASDSE); and
Sopris West Educational Services, a Cambium Learning Company

This conference is designed for school administrators and staff and will provide information in regards to meeting the reading and behavioral needs of all students through a Multi-Tier System of Supports (MTSS).

The Conference is now full. We encourage you to go ahead and register. You will be added to a waitlist and contacted if space becomes available.

Registration Fee: $200

Payment Procedures:Payment must be received by August 20 in order to participate in this conference. Payment may be submitted by personal check, agency check, or purchase order.

Please make checks payable to: Utah State University/TAESE

Please fax Purchase Orders to:

   435-753-9750
   Attn: Tina McComber

Please submit payment to:

   Utah State University/TAESE
   Attn: Tina McComber
   1780 North Research Parkway, Suite 112
   North Logan, UT 84341

Registration Cancellations: Cancellations received before September 1 will be refunded. Cancellations received after that date cannot be refunded.

Hotel Information: Wichita Hyatt

   400 West Waterman
   Wichita, Kansas 67202
   316-293-1234
   800-233-1234

A block of 100 guest rooms have been reserved until the block is sold out. Registrants are responsible for making their own hotel reservations.   Please reference the Kansas State Board of Education Conference when making your reservations. We strongly encourage you to reserve your room as soon as possible.

Self-parking for overnight guests of the Hyatt is $5.00 per vehicle, per day, and will be charged to the room.

Parking for attendees not staying at the Hyatt is $7.00 per day.

Scroll down to Register Now!

Complete the form in its entirety and then click "Register Now."
Please note that you can register only one person per form.

The 2008 Kansas MTSS Symposium has reached full capacity.

Your registration, if you choose to complete this form, will be placed on a waiting list. In the event that other participants withdraw or if additional space becomes available, you will be notified by e-mail prior to the conference. We anticipate confirmation of all registrations to be completed by August 20. On-site registrations will not be accepted.

Please continue to check this web site for additional information regarding the conference agenda and other relevant information.

Registrant Information
Required Fields are in Bold.
Your First Name:	(As you want it to appear on your name tag)
Your Last Name:
Your home address:
City:
State:
Zip Code:
Your Phone Number:	You MUST use this format: 435-752-0258
Your email address:	Please use an email address you will check regularly throughout the summer.
Re-enter your email address:
USD Number:
District/Organization:
Building:
Your Title/Position:
Billing Information
Payment Method:	The fee to attend this Symposium is $200. Please select your payment method: Personal check District or agency check (Specify Below) Purchase order (Specify Below) If you selected selected a district or agency check or a purchase order, please provide the following: Contact Person: Organization: Street Address of Payor: City: State: Zip Code: Phone Number of Payor:
Other Information
Dietary Preference:	Select your dietary preference: Regular Vegetarian Other, please specify:
Accessibility Needs:	Select your accessibility needs: None Wheelchair Access Sign Language Interpreter Braille Large Print Other, please specify: