Register for Fall Workshop

Family Name (required)

Contact Email (required)

Mailing Address

Phone

Will you require ASL interpretation for any member of your party?

YesNo

Please list all people that will be attending, including names, ages and hearing/deaf/hard of hearing status of any children attending, and whether you are attending as a parent/relative, or as a professional. By providing this information our speakers can tailor the workshop to the specific audience.

Adults

Name Hearing Status Info

Children

Name Age Hearing Status Childcare Requested Other Needs?

Please provide us any additional details in the box below:

Cost per person (adult or child) is $10 payable at the door - cash or cheque. Childcare will be provided and lunch is included in the cost of registration. If cost is a barrier, please contact us. Scholarships are available.

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