Parent Fall Workshop 2017
Thank you for registering for our Parent Fall Workshop! We're looking forward to seeing you soon.

Please read carefully, answer all questions, add up your total and head to www.paypal.me/BCHandsandVoices to send us your specific total. OR please indicate you require an invoice to pay via credit card.

*Please note your seat is not secured until payment is received.*

- Workshop with catered lunch for adults $15 each ($20 after October 28th)
- Childcare for children 0-5 (bring lunch & snacks for your child) $15 each ($20 after October 28th)

Email address
Registrant's Full Name (s) ADULT PARTICIPANT
Your answer
I will pay via
Do you give permission for you/ your child's pictures to be taken during the workshop and used on social media or promotional material for our events?
Hearing Status
I am a
Do you have any dietary requirements?
Are you bringing your child(ren) to the event? (Please note childcare is only available for kids 0-5yrs)
Child(ren)'s name(s) followed by Date/ Year of Birth and Hearing Status (DHH or hearing) *Please be sure to list all information for each child*
Your answer
Notes for Child Care Staff
Your answer
I understand that I need to bring lunch, snacks, drink or water bottle for my child(ren). *no nuts please* Please initial below.
Your answer
Would you like to become a member of BC Hands & Voices? Membership is free and you will be added to our monthly enewsletter list. Emails with articles, information about social events, publications, programs and events that are of interest to families with DHH children go out once a month.
Remember to head to www.paypal.me/BCHandsandVoices to send us your total registration fees if you have a PayPal account. Or please wait for your invoice from us. Thank you!
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of BC Hands & Voices. Report Abuse - Terms of Service - Additional Terms