ABCD 2019 registration

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Please use one form per family. ABCD is March 8-10, 2019. The deadline to register is March 1, 2019. Write check to ABCD, send to Paul Pitts, 183 Stonebridge Circle, Pelham, AL 35124. Thanks!

Registration costs: Friday night $7 (adults) or $4 for kids; Saturday $10 adults, $7 children, free ages 0-3

Friday supper- on your own before arrive to Coosada Baptist Church between 6 to 7 pm

Saturday breakfast- on your own (hotel provides for free)

Saturday lunch- Chicken Salad Chick or go eat on your own ($8 per person) see https://www.chickensaladchick.com/ for more info

Saturday night supper- Banquet meal *** must pre-register, no last minute plans to attend ($12/person)

Sunday breakfast- on your own (hotel provides for free)

Sunday no cost for registration, lunch on your own.

If you need a hotel, you are responsible for reserving your own hotel. There are numerous hotels in the Prattville/Millbrook area. You need to reserve soon, before the hotels are full.

Email *

Adult one name *

Adult one info (check all that apply) *

Church messenger (must have pastor signature- gives right to vote)

Visitor (can come to all activities, including business meeting, but no right to vote)

Deaf or hard of hearing

Hearing

Deaf/Blind or low vision

Interpreter

Sunday School teacher

Pastor

Lay Minister

Deacon

Required

Adult two name

Adult two info (check all that apply)

Church messenger (must have pastor signature- gives right to vote)

Visitor (can attend business meeting, but no right to vote)

Deaf or hard of hearing

Hearing

Deaf/Blind or low vision

Interpreter

Sunday School teacher

Pastor

Lay Minister

Deacon

Child # 1 name and age

Child #1 info (check all that apply)

Deaf or hard of hearing

Hearing

Deaf/blind or low vision

Child # 2 name and age

Child # 2 info (check all that apply)

Deaf or hard of hearing

Hearing

Deaf/blind or low vision

Child #3 name and age

Child # 3 info (check all that apply)

Deaf or hard of hearing

Hearing

Deaf/blind or low vision

Family home street address

Family home city, state, zip code

Cell phone number

Home phone number (or second cell)

Video phone number

Name of church:

Coosada Baptist deaf ministry

Birmingham Community Deaf Church

New Deaf Church

Bethel Baptist Deaf Church (Dothan)

Other:

Clear selection

If church name above isn't listed, please give us the full church address (including city, state, and zip code).

I understand that I will have to pay the registration fees and meal fees as listed above postmarked by March 1st. *

Yes, I understand.

I understand that I cannot drop my child/children off at ABCD and leave. I must stay at Coosada Baptist Church and pick up my child/children from their class at the scheduled times. *

Yes, I understand (everyone must answer, no matter if you have children or not).

I/We will be attending ABCD.... (one or more) *

The whole weekend

Friday

Saturday

Sunday

Required

I/We will eat the following meals.... *

Saturday lunch (Chicken Salad Chick- variety of choices) $8/person

Saturday dinner- banquet food ($12/person)

Both of the above

None of the above

Required

I understand that I need to complete a separate form to complete my meal order. *

Yes, I understand.

Does anyone have any physical, medical, or dietary needs that we need to be aware of? *

I understand that if I need a hotel, it is my responsibility to reserve the hotel on my own (see comment at the top). *

Yes, I understand.

Questions/comments here:

Send me a copy of my responses.

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