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39th Silent Weekend / Orlando, Florida/ June 21 - 24, 2018

This special group rate is for five or more registering together. Each person must fill out a separate registration form which must be sent together with one check or money order payable to Silent Weekend. Once this registration is sent in, you cannot add to it. Due to the group registration discount, there will be no individual receipts, refunds or credits. A group receipt will be sent to the contact person at the time of registration.

Registration price per person  $_______(for a minimum group of 5 people)

Name:_____________________________________________________

Level:

Beginner [  ]
(Short 1-2 sentence responses, some creativity in sign usage, slow signing speed)

Intermediate [  ]
(Begins to look like a “conversation” with 2-4 sentence responses, moderate signing speed)

Advanced [   ]
(Can elaborate using ASL grammar, is comfortable with visual language, communication flows smoothly)

Address:____________________________________________________

___________________________________________________________

___________________________________________________________

Zip:__________________ E-mail:________________________________

Phone number:______--______--________

Contact Person’s Name:__________________________________(payment information is only required for the person organizing the group)

Check # __________

Visa or MasterCard:__________ --__________--__________--__________

CVC (3 digit security code on the back of the card)_______

Expiration Date (month/year)_____ /_____ Billing Zip Code:____________

If you are the person organizing a group of 10 people or more check this box to get your registration for free.[  ]

Mail to:
Silent Weekend
4492 Golf Ridge Drive
Elkton, FL  32033

Mail in cut off date is postmark June 1, 2018