Registration Form (Due by July 26, 2017)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Online payment can be made at https://squareup.com/market/oregon-association-of-the-deaf/

Sunday, July 30, 2017

Conference Location:

Oaks Park
Pavilion and Picnic Area #15
7805 SE Oaks Park Way
Portland, OR 97202

If you plan to stay at a nearby hotel during the conference and DeafFest IV. We recommend two nearby:

Courtyard by Marriott Portland - Tigard
15686 SW Sequoia Pkwy
Tigard, OR 97224
(503) 684-7900

Holiday Inn Express Portland South - Lake Oswego
15700 SW Upper Boones Ferry Rd
Lake Oswego, OR 97035
(503) 620-2980

Full name *

Address *

City *

State *

Zip Code *

County (Multnomah, Lane, etc)

Home Number

Text Number

E-Mail Address *

Registration: Combo Ticket (includes lunch, dinner, presentation, and performance; not rides.)

Please visit SquareUp to make an online payment

Member: $40

Non-Member: $70

Join as a OAD member for 2 years: $30

Registration: Individual Day

Please visit SquareUp to make an online payment

Rides at Oaks Park, this includes unlimited midway rides and a roller skating session with conventional skates. Go carts, miniature golf, and games sold separately: $15

Keynote Speaker, Aubree "AJ" Thompson: $5

Lunch (limited quantity, MUST RSVP): $5

Presenter, Tanea Brown: $5

Banquet dinner (limited seating): $10

Indian Deaf Dance Performance: $5

Donation proceed to Oregon's JrNAD Chapter: $5

Youth 18 and under FREE admission only for Aubree and Tanea's presentation and Indian Deaf Dance.

Vendor

Please visit SquareUp to make an online payment

Self, Club, Group, or Non profit organization: $50

Business: $150

Hearing Status *

Deaf

DeafBlind

Hard of Hearing

Hearing

Other:

Required

I am a *

Professional

Interpreter

Advocate

Consumer

Student

Parent of Deaf Child

Sponsor

Vendor

Other:

Required

Dietary Restriction

Gluten Free

Vegetarian

Vegan

Other:

I need a

Conference will be provided in American Sign Language (ASL) only. Requests are due by July 14th.

Voice Interpreter

Close vision Interpreter

Tactile Interpreter

Support Service Provider (SSP)

Communication Access Real-Time Translation (CART)

Other:

I give my consent for photos and/or media images of myself to be used in any of the Oregon Association of the Deaf's publications. *

Type in Signature

Are you a member of

OAD

ORID

RID

NAD

Other:

Disclaimer *

Please mark each box to show you understand the following

I must submit payment for registration

I am responsible for taking care of my own lodging arrangements.

Child care is not provided

Conference registration is non-transferable and non-refundable.

Membership is non-transferable and non-refundable.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms