Mail completed registration form to:

Autism International Association
c/o MicroSpec Registration
4603 Spring Branch Ct.
Louisville, KY 40241
Or fax to: 888-780-0663

AutismOne/Generation Rescue 2010
The Westin O'Hare Hotel
May 24-30, Chicago

REGISTRANT INFORMATION (Fields marked with a * are mandatory.)

First Name*
Last Name*
Referring organization (if applicable)
Significant Other Name (if registering for conference)	First: Last:
Title (if applicable)
Company (if applicable)
Street Address*
Address2
City*
State*
Zip Code*
Country*
Phone*
Fax
Email*

MENTOR PROGRAM - I would like a TACA mentor: [ ] Yes [ ] No

RALLY! & STATE GRASSROOTS ADVOCACY
I would like to volunteer to help with the Rally on Wednesday, May 26, 2010 I would like to volunteer in my home state of: ______________________	[ ] Yes [ ] Yes	No [ ] No [ ]

[ ] Please contact me. I am interested in helping:
[ ] fundraising [ ] web marketing [ ] legal	[ ] public speaking/teaching [ ] PR/advertising [ ] administrative	[ ] organizing [ ] medical [ ] writing/editorial	[ ] research [ ] scientific [ ] design
[ ] other	[ ] political, industry, philanthropic and other connections

other:_____________________________________________________________________________

Where did you hear about the conference? _____________________________________________

Are you a: Parent Professional

SCHEDULE & FEES (Please select from the following):

[ ]	MONDAY, MAY 24: 9:00 am – 4:00 pm	FREE
	Student Scholars for Autism Program
	Arts Festival
	Win-Win Parenting for the Autism Spectrum Child

[ ]	TUESDAY, MAY 25: 8:00 am - 4:00 pm	FREE
	Reaching Sensory Processing Disorders: Working to Benefit ADD/ADHD through Structure and Function - a biomechanical approach
	The Major Cause of Autism (the brain has lost optimal communication): A chiropractor's perspectivel
	Barrier Integrity: Is "Leaky Gut" the Gateway to Autoimmune Reactions in the Brain?
	Language as a Natural and Integrated Process within the DIR® Model
	Individualized Education Program planning
	Qigong Sensory Training
	Student Scholars for Autism Program

[ ]	WEDNESDAY, MAY 26: MORNING - EACH IN-DEPTH SESSION is 8:00 am - 12:00 pm	$85
	Preventing Abuse, Seclusion, and Restraint In Schools (presented by NAA)
	Homeopathy and Homotoxicology and Their Role in Reversing Vaccine Injury
	Dynamics of Healthful Diets
	Autism, the Brain, Thinking, and Behavior

[ ]	WEDNESDAY, MAY 26: AFTERNOON – RALLY! 1:00 pm – 4:00 pm	FREE
	More information about the Rally! will be posted soon

[ ]	THURSDAY - MAY 27: FULL AND HALF-DAY SESSIONS	$115
	Special Education Law Day - 8:00 am - 5 pm
	Environmental Issues & Chronic Diseases Symposium - Part 1 - 8:00 am - 5 pm
	First Responders Training - 8:00 am - 4 pm (FREE to First Responders)	FREE
	Art of Cooking Special Diets - 8:00 am - 5 pm	FREE
	Verbal Behavior Workshop - 8:00 am - 12 noon
	CARD Feeding Clinic - 1:00 pm - 5 pm
	Elizabeth Birt Center for Autism Law and Advocacy Legal Training - 8:00 am - 6 pm Continuing Legal Education Units (CLEs)available – Students $25
	Arts Festival

[ ]	MAIN CONFERENCE: THURSDAY EVENING, MAY 27 – SUNDAY, MAY 30	$295
	THURSDAY EVENING, MAY 27:
	Environmental Issues & Chronic Diseases Symposium - Part 2 - 7:00 pm - 9 pm
	Current State of Autism Research - 7:00 pm - 8 pm
	Introduction to the Biomedical Journey - 8:00 pm - 9 pm
	Beginning Biomedical - In Spanish! FREE to Spanish-speaking families - 7 - 9 pm
	Movie - 8:00 pm - 10 pm

[ ]	FRIDAY, MAY 28 - 8:00 am – 6:00 pm
	5 tracks of lectures to choose from - including biomedical research & treatments, adjunct therapies, complementary medicine, Asperger's issues, plus:
	Prediction & Prevention Track - 8:00 am - 4:00 pm
	Residential Think Tank - 1:45 pm - 5:00 pm
	Arts Festival

[ ]	FRIDAY EVENING, MAY 28 - 7:00 pm – midnight
	Movie
	Elias Tembenis Mini-Walk
	Spa Night - Limited seating - check website for RSVP details
	Karaoke

[ ]	SATURDAY, MAY 29 - 8:00 am – 6:00 pm
	5 tracks of lectures to choose from - including biomedical research & treatments, adjunct therapies, complementary medicine, Asperger's issues, plus:
	Jenny McCarthy Keynote address - 11:30 am - 12:30 pm
	Seizures Track - 8:00 am - 6 pm
	ARCH Medical Center Q&A - 8:00 am - 10 am
	Savely Yurkovsky, MD, practitioner Q&A - 4:00 pm - 6 pm
	Arts Festival

[ ]	SUNDAY, MAY 30 - 8:00 am – 3:00 pm
	5 tracks of lectures to choose from, including biomedical research & treatments, adjunct therapies, complementary medicine, advocacy issues, plus:
	THRiiiVE Seminar - begins at 10:30 am
	Arts Festival

	SPECIAL EVENTS - CONFERENCE DINNERS:
[ ]	Saturday Night Special Dinner - May 29, 7:30 pm – 11 pm	$75
	How many tickets? [ ] TOTAL:	[$ ]

[ ]	TACA Mentor Mixer - Thursday evening, May 27, 6:00 pm - 9:30 pm	$25
	How many tickets? [ ] TOTAL:	[$ ]

	SPECIAL MILITARY RATE TO ACTIVE MILITARY AND FAMILY MEMBERS
[ ]	Monday, May 24 – Sunday, May 30	$49

	MAIN CONFERENCE 1-DAY REGISTRATIONS (for those not buying a 3-day Main Conf. pass)
[ ]	Friday, May 28	$145
[ ]	Saturday, May 29	$145
[ ]	Sunday, May 30	$145

	CHILDCARE OPTIONS (The cost listed is per session per child.)
#Children
	Morning session 7:30 am - 12:30 pm	[ ] Wed [ ] Thu [ ] Fri [ ] Sat [ ] Sun	$35
	Afternoon session 12:30 pm - 6:00 pm	[ ] Wed [ ] Thu [ ] Fri [ ] Sat [ ] Sun	$35
	All day 7:30 am - 6:00 pm	[ ] Wed [ ] Thu [ ] Fri [ ] Sat [ ] Sun	$60

Please enter the names of the children:
Individual one-on-one childcare is available for $25 per hour. Please call (714) 680-0792 to book.

ADDITIONAL REGISTRANT OPTIONS:

SIGNIFICANT OTHER: A second registration pass is available to your significant other.
Significant others include, but are not limited to, spouses, grandparents, aunts, uncles, teachers, and therapists.

[ ]	Significant Other option - 1 day	$45
[ ]	Significant Other option - 2 days	$95
[ ]	Significant Other option - 3, 4 & 5 days	$145

DONATIONS:
Please help us continue to heal children and help families by making a positive difference with your donation.
[ ] $25 [ ] $50 [ ] $100 [ ] Other Enter Amount

May we publish your name as a patron? [ ] Yes [ ] No

FOLLOW US ON TWITTER HERE.
FOLLOW US ON FACEBOOK HERE.

TOTAL PAYMENT AUTHORIZED: $

PAYMENT INFORMATION:

Payment By*	[ ] Visa [ ] MasterCard [ ] Amex
Card Number*	(enter without spaces)
Expiration*	(MMYY)
3-digit code on back*
Name as shown on Card*
Billing address*

Refund policy: For registration cancellations, send written notice to Autism One Registration Headquarters (fax to 888-780-0663) or email to autism@microspec.com. You may also mail to Autism One Conference, c/o MicroSpec Registration, 4603 Spring Branch Ct., Louisville, KY 40241-5526). For notices received prior to April 30, 2010, your registration fee will be refunded less a 25% cancellation charge. No credits will be given for late notices or for "no shows." For questions about the conference, email Registration@autismone.org.