Oklahoma Association of the Deaf
Conference Registration Form
June 9-11, 2011
Tulsa, Oklahoma
Please Print or Type
Name: __________________________________________________________
Address: ________________________________________________________ City/State/Zipcode: _______________________________________________
Email: _______________________ Pager: _________________________
Are you a member? Yes No , please add $15.00 to the combo
* membership is not required for the out of state residents
Special Accommodations: Deaf/Blind Wheelchair Other: _______
Banquet Meal Preference: Beef Chicken Vegetarian
Combo includes registration, program book, workshops, Gala celebration, Miss Deaf Oklahoma pageant, banquet, entertainment and general meeting.
$60.00 before May 31st $80.00 after that date
One day $40.00 not included MDO/Banquet
Two days $60.00 not included MDO/Banquet
One day Workshop only $20.00
Banquet only $50.00
ASL IDOL only $5.00
Film Night only $10.00
MDO only $15.00
For Youth-up to 18 years old
All Conference included banquet $50.00
Conference only without banquet FREE
MDO only (8 to 18 years old) $10.00
MDO only under the age of 7 FREE
Make your check or money order payable to OAD and mail it to:
Ron Lawer, Treasurer
2218 Yankee Drive
Sulphur, Oklahoma 73086
