2020 Family Education Conference - Greece

First Day of Conference (DATE)

YYYY-MM-DD

Greece Family Education Conference 2020

Conference registration fees will be required at the end of this registration form. Please have a credit card or PayPal payment ready.

If you are a member of a sponsoring company, your discount code will be required at the end of this registration. If you do not know your company's discount code please email SHARE at info@shareeducation.org, including your name and company, and return here once you have that information.

Items with a red asterisk * are required to complete the form.

Basic Information

Family Name (surname)*

Email Address*

Country*

State

City

Agency*

Registration

Adult Program

Individual ($250)*

Cost for Adult - Individual $

Married Couple ($350)*

Cost for Adult - Married Couple $

Name of First Adult

First name (And family name if different than listed above)

Name of Second Adult

First name (And family name if different than listed above)

Child Program (0-12 years old)

Children ($60)*

(Ages 0-12)

Cost for Child $

Edit this to change cost

First Child

Name*

First name (And family name if different than listed above)

Gender*

Male Female

Birthdate*

YYYY-MM-DD

What is this child's mother tongue?*

Level of English Proficiency (if this child is over 3 and English is not the mother tongue).

Level 1: Starting - limited or no understanding Level 2: Emerging - can understand phrases and short sentences Level 3: Developing - can use English spontaneously but has difficulty expressing his/her thoughts due to restricted vocabulary Level 4: Expanding - adequate for day to day communication Level 5: Bridging - express him/herself fluently and spontaneously

Additional Options

Educational Assessment

Assessment Requested*

Early Reading Assessment (Grades K-2) Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech: (preschool and up) Language: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

In order to create a positive experience for your child, please list any behavioral issues, special needs, health conditions or medical needs, including allergies, for this child.

Second Child

Name

First name (And family name if different than listed above)

Gender

Male Female

Birthdate*

YYYY-MM-DD

What is this child's mother tongue?*

Level of English Proficiency (if this child is over 3 and English is not the mother tongue).

Level 1: Starting - limited or no understanding Level 2: Emerging - can understand phrases and short sentences Level 3: Developing - can use English spontaneously but has difficulty expressing his/her thoughts due to restricted vocabulary Level 4: Expanding - adequate for day to day communication Level 5: Bridging - express him/herself fluently and spontaneously

Additional Options

Educational Assessment

Assessment Requested*

Early Reading Assessment (Grades K-2) Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech: (preschool and up) Language: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

In order to create a positive experience for your child, please list any behavioral issues, special needs, health conditions or medical needs, including allergies, for this child.

Third Child

Name

First name (And family name if different than listed above)

Gender

Male Female

Birthdate*

YYYY-MM-DD

What is this child's mother tongue?*

Level of English Proficiency (if this child is over 3 and English is not the mother tongue).

Level 1: Starting - limited or no understanding Level 2: Emerging - can understand phrases and short sentences Level 3: Developing - can use English spontaneously but has difficulty expressing his/her thoughts due to restricted vocabulary Level 4: Expanding - adequate for day to day communication Level 5: Bridging - express him/herself fluently and spontaneously

Additional Options

Educational Assessment

Assessment Requested*

Early Reading Assessment (Grades K-2) Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech: (preschool and up) Language: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

In order to create a positive experience for your child, please list any behavioral issues, special needs, health conditions or medical needs, including allergies, for this child.

Fourth Child

Name

First name (And family name if different than listed above)

Gender

Male Female

Birthdate*

YYYY-MM-DD

What is this child's mother tongue?*

Level of English Proficiency (if this child is over 3 and English is not the mother tongue).

Level 1: Starting - limited or no understanding Level 2: Emerging - can understand phrases and short sentences Level 3: Developing - can use English spontaneously but has difficulty expressing his/her thoughts due to restricted vocabulary Level 4: Expanding - adequate for day to day communication Level 5: Bridging - express him/herself fluently and spontaneously

Additional Options

Educational Assessment

Assessment Requested*

Early Reading Assessment (Grades K-2) Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech: (preschool and up) Language: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

In order to create a positive experience for your child, please list any behavioral issues, special needs, health conditions or medical needs, including allergies, for this child.

Fifth Child

Name

First name (And family name if different than listed above)

Gender

Male Female

Birthdate*

YYYY-MM-DD

What is this child's mother tongue?*

Level of English Proficiency (if this child is over 3 and English is not the mother tongue).

Level 1: Starting - limited or no understanding Level 2: Emerging - can understand phrases and short sentences Level 3: Developing - can use English spontaneously but has difficulty expressing his/her thoughts due to restricted vocabulary Level 4: Expanding - adequate for day to day communication Level 5: Bridging - express him/herself fluently and spontaneously

Additional Options

Educational Assessment

Assessment Requested*

Early Reading Assessment (Grades K-2) Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech: (preschool and up) Language: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

In order to create a positive experience for your child, please list any behavioral issues, special needs, health conditions or medical needs, including allergies, for this child.

Sixth Child

Name

First name (And family name if different than listed above)

Gender

Male Female

Birthdate*

YYYY-MM-DD

What is this child's mother tongue?*

Level of English Proficiency (if this child is over 3 and English is not the mother tongue).

Level 1: Starting - limited or no understanding Level 2: Emerging - can understand phrases and short sentences Level 3: Developing - can use English spontaneously but has difficulty expressing his/her thoughts due to restricted vocabulary Level 4: Expanding - adequate for day to day communication Level 5: Bridging - express him/herself fluently and spontaneously

Additional Options

Educational Assessment

Assessment Requested*

Early Reading Assessment (Grades K-2) Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech: (preschool and up) Language: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

In order to create a positive experience for your child, please list any behavioral issues, special needs, health conditions or medical needs, including allergies, for this child.

Teen Program (13-19 years old)

Teens ($90)*

(Ages 13-19)

Cost for Teen $

Edit this to change cost

First Teen

Name*

First name (And family name if different than listed above)

Gender*

Male Female

Birthdate*

YYYY-MM-DD

Additional Options

Educational Assessment

Grade*

Assessment Requested*

Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech Evaluation: (preschool and up) Language Evaluation: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

Second Teen

Name*

First name (And family name if different than listed above)

Gender*

Male Female

Birthdate*

YYYY-MM-DD

Additional Options

Educational Assessment

Grade*

Assessment Requested*

Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech Evaluation: (preschool and up) Language Evaluation: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

Third Teen

Name*

First name (And family name if different than listed above)

Gender*

Male Female

Birthdate*

YYYY-MM-DD

Additional Options

Educational Assessment

Grade*

Assessment Requested*

Achievement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech Evaluation: (preschool and up) Language Evaluation: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

Fourth Teen

Name*

First name (And family name if different than listed above)

Gender*

Male Female

Birthdate*

YYYY-MM-DD

Additional Options

Educational Assessment

Grade*

Assessment Requested*

Achivement Testing (Grades 3-12) Occupation Therapy Evaluation (Birth-Adult) Speech Evaluation: (preschool and up) Language Evaluation: (preschool and up) PEA - PsychoEducational Assessment (ages 5 and up) Unsure (Please Contact Me)

A SHARE staff member will contact you to confirm testing options and arrange for payment.
Click here for more information about these test options.

Career Direct with Individual Consultation (teens ages 16 and up)

$55/teen, $44/teen for sponsoring agencies

For teens 16 and up, SHARE offers an assessment called Career Direct. It is a professional, comprehensive, spiritually-focused tool that is taken online before the conference and produces a 33-page report specific to your teen. One of our career consultants will then meet with the teen and parent(s) to discuss the results via Skype. This report will provide some insight into your teen and give suggestions for vocations that would be a good match with their personality, interests, skills, and values.

Would you like to register your child for Career Direct?*

Cost for Career Direct Assessment $

Number of Teens for Career Direct?*

$55/teen, $44/teen for sponsoring agencies

First Teen's Name and Age*

Second Teen's Name and Age*

Third Teen's Name and Age*

Fourth Teen's Name and Age*

Ladies' Chai 'n' Chat

On Tuesday afternoon there will be an encouraging time just for the ladies to have a dessert/tea.

How many of the registered adults will be attending the women's tea on Tuesday afternoon?*

Accommodations and Travel

Arrival Date*

YYYY-MM-DD

Departure Date*

YYYY-MM-DD

You will need to arrive at the hotel on Saturday, April 5th if your children are taking the normal achievement testing which begins before the conference on April 6th at 8:30am.

The children’s program will have a final presentation for the parents at the very end of the conference ending at 13:15. To ensure that you and your family can enjoy it, please do not schedule flights before 17:30 on April 11th.

Hotel Options

Would you like SHARE to reserve your room at the conference hotel*

Hotel Fees

These prices are to provide information for planning purposes only. Those requesting hotel rooms will be invoiced separately.

Rates are on Full Board Basis (Greek Breakfast – Lunch – Dinner Buffet Style) including 2 coffee breaks and all taxes (VAT 13% and 24% and community tax 0,.5%). Additional Charge: residence tax 4,00€ / room / night. Children 12+ are considered at the adult rate.	Rates per night	Approximate costs in USD (may change at time of conference)
Single Adult Deluxe	110,00€ / room per day	~ $122.00
Double Adult Deluxe	145,00€ / room per day	~ $161.00
Triple Adult Deluxe	195,00€ / room per day	~ $216.00
1 Child under 7 years old sharing parent’s room	Free of Charge	Free of Charge
2 Children under 7 years old	35,00€ / per day	~ $39.00
1 Child under 7 years old and 1 Child 7-11.99 years old	35,00€ / per day	~ $39.00
1 Child 7-11,99	35,00€ / per day	~ $39.00
2 Children 7-11,99	60,00€ / per day	~ $67.00

Hotel Notes:

Be sure to bring your bathing suit as the hotel has lovely indoor and outdoor pools. The pools will remain open until 21:00 (9 pm) each evening.
The hotel also offers exercise equipment.
The hotel requests no wheelie shoes or skateboards inside the hotel.

# of Nights @ Hotel

Shuttle Service Times and Fees

The nearest airport is Athens. Let us know NOW if you need shuttle service to and from the Athens International Airport to the hotel even if you don’t have your travel itinerary yet. Shuttle Service will be on a limited time basis only to and from the Athens International Airport to the NegroPonte Resort. Prices for this shuttle service will be available by 1 February 2020. The latest to request shuttle service is 15 March 2020. You will be invoiced at that time for the shuttle service. Should you order shuttle service, then chose a different form of transportation, refunds will not be available after April 1.

Will you need shuttle service to/from the airport to the hotel?

Yes No

Number of adults for shuttle

Number of teens for shuttle

Number of children for shuttle

Additional Information

Is there anything else you would like us to know?

Privacy and Confidentiality Agreement

I authorize SHARE Education Services to use and disclose the information provided within this registration form for the limited purpose of providing event and educational programming for all registrants named on this form. I understand that the information will be disclosed only as required to provide services related to this event. I further understand that I may revoke this authorization at any time but that information may already have been disclosed and cannot be retrieved.*

I have read and agree to the above Privacy and Confidentiality Agreement

Required by General Data Protection Regulation (EU) 2016/679; Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232g; 34 CFR Part 99

Signature

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Use your mouse or finger to draw your signature above

Registration Fees

Registration Costs (before scholarships/discounts) $

Teen Career Direct Costs (before scholarships/discounts) $

Early Bird Discount (if applicable) $

Discount Code

If you have a discount code, please enter it above and click "Apply Discount." Examples of a discount code include Sponsoring Agency Codes, Scholarship Codes, and Staff/Volunteer Codes. Codes are case-sensitive. If your agency is a sponsor and you don't know your code, contact us.

Registration Subtotal (with Discounts) $

Quantity for Paypal Invoice

DO NOT MODIFY

Total $

Early Registration, Sponsoring Agency, and all other valid discount codes are calculated into this Total.