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what works for your child, is what makes the choice right

Arizona Hands & Voices and Arizona State Schools for the Deaf and Blind
2016 Fall Expo Registration Form
We are thrilled to invite you and your family to attend our Fall Expo. This will be great opportunity
for you to attend classes and meet local and national vendors related to the Deaf and Hard of
Hearing community. The Expo will be held at:
The Black Canyon Conference Center, 9440 N 25th Avenue, Phoenix, AZ 85021 on Saturday,
October 15th, 2016. Registration begins at 8:00am and the event ends at 4:00 pm.
Fax this form to 602-296-0425 or Email to executivedirector@azhv.org
Full Name: ___________________________________________________________________
Address: _____________________________________________________________________
City: ______________________ State: ____________ Zip: ___________________________
Phone: _________________________________ Email: _______________________________

Attendee Type & Pricing: (Continental breakfast and lunch will be provided for each registered
participant.) ***All registrations include 1 year free membership to Arizona Hands & Voices.
Parent Fee:

$25.00 ______

Same Family Fee-2 Adults:

$40.00 ______ (Add $5 extra per person over 13 in same family)

Professional Fee:

$40.00 ______

**Scholarships may be available to families that demonstrate a need. Call for more information.
Children under 13 free, and childcare will be provided during classes for toilet trained children.
Yes children ________ Ages of children _____________________________
Total number attending: __________
Interested in sponsoring a family? Enclosed is $__________
Mail check or money order to:
Arizona Hands & Voices
PO Box 30163, Phoenix, AZ 85046
or
For credit card payments log onto www.azhv.org to pay by Paypal.
Special Accommodations need to be requested by September 30th or cannot be guaranteed.
List communication or dietary needs here:________________________________________________________________