ASTra Training Registration
June 17, 6 - 8:30 pm networking and social
June 18, 8 am - 4:30 pm parent workshop

Ramada Tropics Resort and Conference Center
5000 Merle Hay Rd, Des Moines, IA 50322
Contact Susan Rolinger at (515)782-3792 or info@iowahandsandvoices.org

Program information
The content and examples during this session are deaf/hard of hearing or deaf/blind specific.
All attendees must register by Monday, June 6, 2016. Spots are limited, register early.
Childcare will be provided by trained childcare providers with sign language skills (Saturday only).
Language and literacy skill building activities will be provided by licensed Teachers of the Deaf or Hard of Hearing.
Name
Your answer
Email
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Address
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What days will you attend?
Required
What is your role?
Do you need a sign language interpreter during the parent training session?
Dietary restrictions
Will you need childcare on Saturday, June 18?
Please describe any special health care needs of your children.
Your answer
Child #1 age
Child #1 Deaf/Hard of hearing?
Child #2 age
Child #2 Deaf/Hard of hearing?
Child #3 age
Child #3 Deaf/Hard of hearing?
Child #4 age
Child #4 Deaf/Hard of hearing?
Hotel rooms will be provided (free of cost) for families travelling greater than 50 miles. Will you require a room on Friday, June 17?
I understand that I will have to provide a credit card at check-in to cover any incidental charges (movies, food, etc).
Required
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