ONLINE REGISTRATION FORM Below is an online registration form for the KAGE Annual Conference 2010. If you use this form, you will still need to mail or fax in your purchase order or check. When you are finished filling out the form, click on SEND FORM button at the bottom of the page and the information will be emailed to the KAGE office. A confirmation will be emailed to you within two days of receipt of this form. If you prefer that a paper confirmation be mailed to you, please let the KAGE office know. Registration Form Name: Street Address: City, State, Zip: Home Phone (include area code): Work Phone (include area code): Email: School District: County of Residence: Classification G/T Coordinator Teacher Administrator Resource Teacher Counselor Parent Other MONDAY, FEBRUARY 8 SESSIONS - Mark your first, second, and third choices for the morning sessions, and first, second, and third for the afternoon sessions. See Monday Sessions for descriptions. HALF-DAY WORKSHOPS

MORNING SESSIONS M1 Reis, THE UNDERACHEIVEMENT DILEMMA: MOTIVATING GIFTED AND HIGH POTENTIAL LEARNERS M2 Inman, STRATEGIES FOR DIFFERENTIATING INSTRUCTION: BEST PRACTICES FOR THE CLASSROOM M3 Lanham, I'M NOT SUPERman - DEBUNKING THE MYTHS AND ADDRESSING THE UNIQUE NEEDS OF THE GIFTED THROUGH MANAGEABLE INTERVENTIONS M4 Ellis, SUCCESS, ACHIEVEMENT AND THE GENERAL INTELLECTUAL STUDENT M5 Evans & Roberts, WHAT ADMINISTRATORS NEED TO KNOW ABOUT GIFTED EDUCATION AFTERNOON SESSIONS M6 Reis, CHALLENGING TALENTED READERS M7 Sheffield, IMPLICATIONS OF THE K - 12 COMMON CAORE STATE STANDARDS IN MATHEMATICS FOR GIFTED EDUCATION M8 Lanham, NOW THAT I'VE FOUND THEM, WHAT DO I DO WITH THEM? M9 Betts, RESPONSE TO INTERVENTION (RTI) + THE AUTONOMOUS LEARNER MODEL M10 Roberts & Inman, DIFFERENTIATION THROUGH THE DEVELOPMENT AND ASSESSMENT OF PRODUCTS EFFECTIVE INSTRUCTIONAL LEADERSHIP (EILA) CREDIT AVAILABLE! PLEASE CHECK THE PRICE THAT CORRESPONDS TO YOUR REGISTRATION. TOTAL Conference: (Monday, Tuesday) (includes continental breakfast both days & lunch on Monday*) $225 , current KAGE member $255, not a current member (complimentary membership included) or renewing now MONDAY ONLY (includes breakfast & lunch) $125, current KAGE member $155, not a current member (complimentary membership included) or renewing now $30, KAGE CHAPTER DAY ONLY TUESDAY ONLY (includes breakfast*) $110, current KAGE member $140, not a current member (complimentary membership included) or renewing now Please enclose a check or P.O. number for your TOTAL registration. IF YOU ARE NOT SURE YOUR KAGE MEMBERSHIP IS CURRENT PLEASE CONTACT THE KAGE OFFICE. **Please contact the KAGE office if you have any special needs - dietary or otherwise. NO REFUNDS - SUBSTITUTES WILL BE ACCEPTED. CONFIRMATION LETTERS ARE MAILED TO REGISTRANTS. IF YOU HAVE NOT RECEIVED A CONFIRMATION LETTER BEFORE YOU LEAVE FOR CONFERENCE, PLEASE CONTACT THE KAGE OFFICE! WE REGRET THERE CAN BE NO REFUNDS IN THE EVENT OF INCLEMENT WEATHER. KAGE reserves the right to amend or cancel events on the published program. All events and speakers are correct at time of publication. The organizers will make reasonable efforts to ensure the program goes ahead as scheduled. Any changes will be posted on the conference website (www.wku.edu/kage) as soon as they are known. Total $ P.O.# CHECK # Please send your check (or PO #) payable to KAGE at P.O. Box 9610, Bowling Green, KY 42102-9610 or fax to 270.745.6279. If you would like to receive a mailed or faxed copy of the Annual Conference 2010 brochure, please send your name, address, or fax number to kage@wku.edu or call the KAGE office at 270.745.4301.