Registration Form
Behavior, Social
Skills and Autism
Join us May 13, 2015 from
9:00 am– 3:00 pm for a FREE
conference at the Days Inn
and Suites Schoharie. Our
presenter, James Ball Ed. D.,
BCBA-D, authored the book,
Early Intervention and Autism:
Real– Life Questions, Real–
Life Answers. He is a nationally known speaker, who has
toured with Dr. Temple
Grandin. He will provide valuable expertise and practical
advice on behavior, social
Registration is due by Friday May 1, 2015
and is on a first come first served basis. Due
to the expected interest in this FREE conference register early.
Feel free to bring your own beverages and
lunch is on your own.
This form may be duplicated for additional
attendees. One registrant per form, please.
Please mail completed form to:
Parent Technical Assistance Center
c/o Southern Tier Independence Center
135 E. Frederick Street
Binghamton, NY 13904
Phone: 607-724-2111
B e h a v i o r,
Social Skills
and Autism
A FREE
conference for
parents and
professionals
Wednesday
May 13, 2015
9:00am—3:00pm
At the Days Inn
and Suites
First Name:____________________________
Last Name: ____________________________
Address: _______________________________
_________________________________________
skills and autism for early intervention to early elementary
Email: _________________________________
aged children. Suggested au-
Phone: _________________________________
dience would include parents
individuals with autism.
There will be a question answer session
during the conference. Feel free to submit a
question at the registration table.
You can also register via the
Web at : www.ptac-stic.com
James Ball Ed. D.,
BCBA-D
Sponsored By:
Y
and professionals working with
Presented By:
Parent: _____ Professional:____ Both:____
Our Keynote Speaker
James Ball
Ed. D., BCBA-D
James Ball Ed. D., BCBA-D, is a
Board Certified Behavior Analyst. He
has been working in the field of autism
for over 30 years. He provides behavioral, educational, residential and employment services to children and
adults affected by autism. He is an
Executive
Chair, National
Board of Directors, Autism
Society. He is
also an appointed community
member to the
Interagency
Autism Collaborating Committee (IACC), a
federal advisory
committee established by the Combating Autism
Act of 2006. James Ball Ed. D., BCBAD, also sits on the advisory board for
the Autism Asperger’s Digest magazine
and has been a featured author for the
magazine for over 5 years. He has lectured nationally and internationally
on various topics related to autism,
such as early intervention, inclusion
services, social skills training, and
functional behavioral assessments.
Behavior, Social
Skills and Autism
Registration/ Welcome
8:158:45
Key Note Address:
Behavior , Social Skills
and Autism
9:0010:15
Morning Break
10:1510:30
Behavior, Social Skills
and Autism continued
10:30–
12:00
Lunch on your own
12:00–
1:00
Behavior, Social Skills
and Autism
question and answer session
1:003:00
The conference is being held
at the
Days Inn and Suites
Schoharie
160 Holiday Way
James Ball Ed. D., BCBA-D,
book available for purchase
at Amazon and Future Horizons
Schoharie, NY 12157
Sponsored By:
http://www.p12.nysed.
gov/specialed/techassis
t/ecdc/
Autism Society Of the
Greater Capital Region
101 State St.
Schenectady, NY 2305
Phone: 518-355-2191
Web:
www.albanyautism.org