Conference Registration Form

Registration Information:

Name:

Mailing Address:

City:

State:

Zip:

Phone:

Fax:

E-mail:

Special Needs:

If you need any of these special accomodations, call the WAAODA office (800.787.9979) at least three weeks prior to the Conference date:

Sign language interpreter (ASL or Signed English)

Braille, taped, large print, audio loop materials

Child care

Other accommodations

Vegetarian meals

Fees:

Check all that apply

Individual WAAODA members – $320 (for all 3 days!)

Annual membership – $25

Non-member – $350 (for all 3 days!)

One day only (regular) – $120

One day only (student/retired) – $80

CME – $35

CEU – $30

Drum-making workshop (without materials) – $120

Drum-making workshop (with materials) – $135

Exhibitor – $400 (includes registration for one)

Group discount (5 or more) – Save 20% on total

Tax deductible donation to WAAODA:

Total:

* your total for registration is based on items that you select under fees