SWC Individual Registration Form

2003 SayWhatCon · Seattle · July 23 - 27, 2003

Questions?

Have questions regarding registration? Please contact the Convention Registration Commitee:

Susan Dohne at FireAntz@aol.com, Chair, or
Cathy Hilden at travelincathy@cawamn.com

This form may be sent online by clicking the submit button at the bottom.

Checks should be made out to

SayWhatClub Registration

and sent to:

Your check must be received before you are considered officially registered.

Refund policy

Up to May 1 -- 100%
May 2 - June 15 -- 50%
After June 15-- no refunds,unless there are exceptional circumstances.

If you wish to request a refund, contact Cathy at travelincathy@cawamn.com

Name:

Name of Spouse or significant other if they are also attending the convention:


Email:

SWC list: Please click the one you would like to see on your name tag, even if you are on more than one list

CI
Connect
Deaf/Hearing Couples
Friends
Forum
Global
Network
Our Children
Vistas
World
None

Fee: Click on the one that applies to you. All fees must be paid in USA dollars.

EARLY BIRD REGISTRATION (checks postmarked by April 1, 2003)
SWC Member - $100
SWC Member and spouse - $175

REGULAR REGISTRATION (checks postmarked after April 1, 2003)
SWC member -$125
SWC member and spouse - $200
Non Member - $150
One day only - $75
Two days only - $125

Where do you plan to stay during the convention?

Convention Hotel
Other

What days do you plan to attend the convention?

All days
One or two days

Which day(s) will you attend if it's only one or two days?


Do you use a wheelchair?  Yes No

Do you need a Large Print Program Book:  Yes No

Will you be bringing a service dog with you:  Yes No

Assistive Listening Systems: Which of the following do you anticipate using? Check as many as apply.

CART (Computer-Aided Real-Time captioning)
ASL Interpreters
Audio loop (You need a t-switch on your hearing aids to use the loop)
None

Do you have any special dietary needs? Yes   No 
If yes, please list them in the box below.


Do you plan to bring your children? Yes   No
If yes, please type in their names and ages.

The SWC is not responsible for providing child care. Parents will be responsible for their own children. If the child attends all of the evening social functions, there will be a $50 charge to cover expenses. If the child will only attend one evening function, please contact Cathy for the cost of that one event. There is no charge for children attending workshops.