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Episcopal Conference
of the Deaf

A National Organization Serving Deaf Ministries

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Convention NonMembers Registration

Convention Non-Members Registration

Registration close on June 4th.

"*" indicates required fields

Company

This field is for validation purposes and should be left unchanged.

Registration Type*

Non Member

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone (Voice/VP)

Text

Email*

Enter Email Confirm Email

How do you identify? (select all that apply)*

Deaf / Hard of Hearing

DeafBlind

Hard of Hearing / Late Deafness

Hearing

Interpreter

Other

Do you need a special accommodation?

ASL interpreters, voice interpreters, and closed captioning will be provided. Please select below if you need a specific interpreter or additional accommodation.

Oral Interpreter

DeafBlind Interpreter

Other*

Lodging Accommodation

Are you staying at the Convention Hotel with us?*

Yes

No

Travel Accommodation

I will:*

Fly

Bus

Amtrak Train

Drive

Have you made a flight arrangement?*

Yes

No

Have you made a bus arrangement?*

Yes

No

Have you made an Amtrak arrangement?*

Yes

No

Travel Grant*

Do you need travel grant?

Yes

No

Do you need us to pick you up?*

Yes

No

Flight Schedule

Please enter the Airline and flight number:*

Arrival*

MM slash DD slash YYYY

Time*

Hours

:

Minutes

AM/PM

Bus Schedule

Arrival*

MM slash DD slash YYYY

Time*

Hours

:

Minutes

AM/PM

Amtrak Schedule

Arrival*

MM slash DD slash YYYY

Time*

Hours

:

Minutes

AM/PM

Diet Restriction

Please select your dietary restriction or preference for meals provided during the convention and banquet.

Diet Preference*

Vegan

Vegiterian

Gluten Free

No Restriction

Food Truck Genre

During the business meeting days, meals will be available from food trucks. Please select the type of food genre you prefer so we can plan accordingly.

American

BBQ

Mexican

Ice Cream

Payment

Total

Credit Card*

Δ

Episcopal Conference of the Deaf
c/o Episcopal Church of the Advent
9373 Garber Rd
Crestwood, MO 63126

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Episcopal Conference
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