OACB 36th Annual Convention:
Self-Advocate Registration

This form is designed to give people with developmental disabilities a quick and easy way to register for the OACB 35th Annual Convention, which will take place December 4-6, 2019, in Columbus. Fill in the fields below and the registration will be processed as usual. There is no charge for self-advocates to attend the Annual Convention, so no billing information is required.

Please note this form is meant solely for use by people with developmental disabilities or those acting directly on their behalf. DD service professionals, providers, and speakers must complete their registration in the standard fashion for OACB events. Standard registration requires an email address and an active account on OACB MemberConnect.

All registrations must be received by 12 p.m. on Wednesday, November 27, 2019. At that time, this form will close and new registrations will not be accepted.

Click here for a printable version of this registration form.

 

REGISTRATION FORM


Attendee's First Name
Attendee's Last Name
Attendee's Dietary Restrictions
Attendee's Special Accommodations
 
Attendance for Day 1 - Wednesday, Dec. 4
 Attending
 Not Attending
 
Attendance for Day 2 - Thursday, Dec. 5
 Attending
 Not Attending
 
Attendance for Day 3 - Friday, Dec. 6
 Attending
 Not Attending
 

Will a support professional be accompanying this attendee?
 Yes  No  
Caregiver's Name (if known)
Caregiver's Dietary Restrictions (if known)

Please provide OACB with the name and contact information of a person we can reach if we have questions about this registration. If you are a self-advocate filling out this form for yourself, skip to the end and click "submit."

Contact Name
Contact Organization (if applicable)
Contact Telephone
Contact Email (a confirmation message will be sent here)