Registration Form

NLSA 1st Annual Conference

Please fill in the form below to register for the conference.
Note: If you do not retrieve the confirmation email, make sure to check your spam folder.

First Name (required)

Last Name (required)

Your Email (required)

Fee

Standard ($25)Student ($20)Family ($40 for 2, plus $10 for each additional family members

Payment

EMTCashChequeFee waived (invited guest)

Please EMT pre-payment to: ourvoice.nlsa@gmail.com, using password nlsa2019

You may bring cash or cheque at registration; however, EMT prepayment is preferred

Dietary Restrictions

Other attendees

Are you planning to join us for dinner at Smitty's? The dinner is November 2 at 5:00, Smitty’s Mount Pearl

noyes

*Please note that should you wish to attend dinner at Smitty’s, your meal is not included as part of the registration fee

How did you hear about our conference:
FacebookTwitterNLSA WebsiteSupport GroupSLPWord of MouthPoster/FlyerRadioOther

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Person who stuttersFamily memberProfessionalOther