Registration Form

DENVER II
FIFTY-THIRD MASTER INSTRUCTOR TRAINING

May 6 th & 7th 2010

TRAINING HELD AT WARWICK HOTEL, DENVER, COLORADO

The Denver Developmental Screening Test (DDST) has been extensively revised and restandardized as the DENVER II. The standardization was conducted in 1988/1989 with more than 2000 children participating. The DENVER II consists of 125 items, spanning birth to 6 years. Changes from the DDST include more language items, fewer report items, and norms for subgroups (based on maternal education, ethnicity, place of residence, and sex) when these norms differ significantly from the average. The emphasis in interpretation is changed from the DDST to compare a given child with the developmental norms of a cross section of the population much as in the use of growth curves for height, weight, etc.

The training consists of two days of instruction for those who wish to administer the DENVER II and/or become Master Instructors, training others in the use of the DENVER II.

Participants will learn how the Denver Developmental Screening Test was revised and restandardized as the DENVER II and will learn to administer and interpret the DENVER II.

No previous training in the DDST or DENVER II is required. At this training there will be all levels of expertise.

During this session, participants will: engage in supervised hands-on testing of children; be given a written proficiency test at the end of the session; be asked to practice testing with a number of children after returning home; and be required to send a videotape of their best test to the DENVER II office to be scored and critiqued. Upon passing the written proficiency test and the videotaped test, a Master Instructor certificate will be issued from the University of Colorado Health Sciences Center.

The registration fee of $395 includes:

Testing children under supervision;
Evaluation of your ability to administer the DENVER II;
All materials needed to screen with the DENVER II. Included are:

The DENVER II Training Manual
The DENVER II Technical Manual
The DENVER II Kit
Pad of 100 DENVER II Test Forms
Two continental breakfasts.
Two luncheons.

Workshop begins with registration at 8:00 a.m. on Thursday, May 6th and ends at 4:00 p.m. on Friday, May 7th.

HOTEL RESERVATIONS:

A special group rate of $129, single or double occupancy, is being offered by the Warwick Hotel - Denver. To make reservations, call 1-800-525-2888 and mention DENVER DEVELOPMENTAL MATERIALS to ensure the special rate. (The rate for Friday & Saturday, if you choose to stay over is the same.)

*** HOTEL RESERVATIONS MUST BE MADE NO LATER THAN March 26th, 2010. ***

The hotel does not offer complementary airport shuttle -- however, Super Shuttle - Denver -- may be used to and from the airport -- 303-370-1300 - www.supershuttle.com - $19.00 per person, each way. Travel time to and from Denver International Airport is approx. 45 minutes.

Workshop registration is LIMITED, so please register early, as it fills FAST.
Upon receipt of payment, a program agenda and Training Manual will be sent.

*** DO NOT MAKE TRAVEL RESERVATIONS PRIOR TO CONFIRMATION FROM US ***

If you need training before May: Contact Beverly Bresnick at (303) 986-9302 to arrange a training at your site.

With questions about the May training please call: The Denver Developmental Materials office:
(303) 355-4729 or (800) 419-4729.

*** Workshop registrations must be in to DDM no later than Friday March 26th, 2010. ***

*** DO NOT MAKE TRAVEL RESERVATIONS PRIOR TO CONFIRMATION FROM US ***

***** Please copy, fill out and mail with payment *****

May 6th & 7th 2010

If paying by check - Make checks payable to:

DDM, Inc.
Master Instructor Program

SEND Registration and Check to:

DDM, Inc.
P.O. Box 371075
Denver, CO 80237-5075

Name:___________________________________ Title:______________________________

Organization Name and Address: _______________________________________________

___________________________________________________________________________

Street Address for shipping course materials by UPS: ______________________________

___________________________________________________________________________

Organization Telephone: (_____) _____________ Home Telephone: (_____) ____________

FAX Number: (______) __________________

WE ACCEPT MASTER CARD AND VISA

IF PAYING BY CREDIT CARD FAX TO 303-355-5622

Master Card /__/ Visa /__/

Card Number ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
Expiration Month ___ ___ Card Holder's Name: _________________________________
Expiration Year ___ ___ Card Holder's Signature: ____________________________________

My registration fee of $395 is enclosed. I understand I must make my own reservations at Warwick Hotel - Denver, no later than March 26th, and all travel, food and lodging costs are at my own expense.
DENVER II skill level (check one): __ No Previous Experience; __ Limited Experience; __ Currently Using. If using check one: __ Self-Taught; __ Some Instruction; __ Instructed by DENVER II Master Instructor.

** BE SURE YOU RECEIVE CONFIRMATION OF REGISTRATION BEFORE **
** MAKING YOUR TRAVEL RESERVATIONS **

We realize that plans and priorities change and registrations may occasionally need to be cancelled. Unfortunately, cancellations, if not restricted, can impact others who may be waiting for a spot in the training. A fee of $150 will be charged for all cancellations received 30+ days prior to the training. No refunds will be given with less than 30 days or with failure to attend. Cancellations must be received in writing by fax or mail - with confirmation from DDM in writing. You may assign your registration to someone else at any time for no charge.