Istituto Universitario di Scienze Motorie di Roma – University Institute of Motor Sciences

IN-CLUES Clues to inclusive and cognitive education

International Conference

GOOD PRACTICES FOR INTEGRATION AND INCLUSION

20th – 23rd September 2006

Registration form

Please send back before July 7^th 2006 to the conference secretary fax +390636733395, fax +390636733395, e-mail ssis-iusm@iusm.it, posta IUSM p.za Lauro de Bosis, 15 , D203 – 00194 Rome, object “Conferenza Internazionale INCLUES”

Surname: _________________________________ First Name: ___________________

Address: ________________________________________________

ZIP code: ___________ City :______________________________ Country:_____________

E-mail: _________________________________________________________________

Telephone number/s:_____________________________________________________

(please, specify the international prefix)

Profession: _____________________________________________________________

University,Institution,School…:_______________________________________________

Department: ____________________________________________________________

City: ______________________________ Province: ______ Country: _______________

¨ registers for the conference 22-23 September 2006

¨ would like to participate in optional school visits programme on September 20 th and 21^st

¨ has applied for a 2.2c subsidy to the National Socrates Agency

¨ has received confirmation from the National Socrates Agency

Financial contribution

120 € Registration fee includes: pre-conference school visits programme, documentation file, lunches, coffee breaks. It does not include accommodation, evening meals and local transport.

Please pay the required amount before September 5^th 2006 to:

University of Antwerp

IBAN (International Bank Account Number) : BE66 7350 0853 1843

BIC (Bank Identifier Code) KRED BE BB

mention FA02 PA171800 INCLUES Rome

Accommodation

Please address all requests for accomodation to : RED ICE VIAGGI, tel.: +390635340287, fax: +390635429221, e-mail: rediceviaggi@virgilio.it ,”object”: specify “Conferenza IUSM- INCLUES September 2006”

As in the L.n.675/96, The “Istituto Universitario di Scienze Motorie” (University Institute of Motor Sciences) guarantees the privacy of data information

Partners in the Inclues Network

	Universiteit Antwerpen, BE		Hogeschool Antwerpen, BE		F.E.R.E, Spanish Federation of Christian Schools, Madrid, ES		Bicocca University, Milano, IT
	Institutt for Anvendt Pedagogikk, Voss, NO	Kristiansand, NO			Karlova Univerzita v Praze, Pedagogicka fakulta		IZGLITIBAS INICIATIVU CENTRS Jekabpils, Latvia
	Centre for Studies on Inclusive Education, UK				Babes-Bolyai University, Cluj-Napoca, RO		IUSM, University of Motor Sciences, Rome, IT

Other associate partners can be found on www.inclues.org

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