Please register me for the Growing-Minds Seminar in at the
Campanile Hotel in Paris (Porte d’Italie), November 11-14, 2008

First name.............................................................................................................................................................................................

Family name.........................................................................................................................................................................................

Address.................................................................................................................................................................................................

Postal code.................................................................................. City..................................................................................................

E-mail..................................................................................................... Phone...................................................................................

Are you a parent, professional, volunteer or other?…..............................................................................................

If you are a volunteer, for whom?.........................................................................................................................................................

The first name of your child..................................................................................................................His/her age..............................

What is his/her diagnosis?....................................................................................................................................................................

If you are a professional, the place you are working is........................................................................................................................

Fees:

970.-- Euros (parent or volunteer)
1’020.-- Euros (professional)
70.-- Euros off the fee for registration and payment before July 31, 2008

Please check :

I would like lodging on the premises, in an individual or double room (please underline your choice)
        and I will settle the amount on departure
I will be accomodated elsewhere
Vegetarian meals, please

I’ve taken note of the cancellation policy.

Date and signature : ...................................................................................................................................................................

Please send to : Ass. l’Enjeu, Mrs Wil Clavien – route de Montana – 3968 Veyras Switzerland
Phone/fax : 0041 – 27 – 455 37 03      E-mail : wil_clavien@enjeu.info