Mom's Night Inn Scottsbluff Registration
November 7 & 8, 2020 -- Fairfield Inn & Suites in Scottsbluff
City, State, Zip Code
Child's name and age
Child's degree/type of hearing loss
Do you need an interpreter?
Sign language interpreting services are available and are free of charge. Services will be provided but will not be guaranteed if requests are not made by October 16. Please let us know if you will need any additional accommodations.
Registration Fee (check one)
$40 I am a member of Nebraska Hands and Voices, I will need a room
$50 I am not a member of Nebraska Hands & Voices; I will need a room
$20 I plan to attend the event but I will not be staying the night; I am a member of Nebraska Hands & Voices
$25 I plan to attend the event but I will not be staying the night; I am not a mamber of Nebraska Hands & Voices
I would like to attend the event, I will contact Shelli Janning and ask about a scholarship. Please note the deadline for this is October 23.
Registration Fee Options
I will be mailing my payment to Hands & Voices c/o Shelli Janning 1376 Jackson St. Blair, NE 68008
I will be requesting a scholarship by calling Shelli 402-533-8915 or e-mailing Shelli at
I will pay the fee on the Nebraska Hands & Voices Website
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