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Auditory Neuropathy Listserv Family Conference

June 20-22, 2002

Doubletree Hotel
300 Canal Street
New Orleans, LA 70130
Reservations: 1-800-222-TREE or 1-888-874-9074
Reservation Code for the group is Kresge
Fax:
Hotel Registration Deadline May 20, 2002
Doubletree New Orleans Information

A block of rooms is reserved at the Doubletree Hotel, 300 Canal Street in New Orleans, Louisiana at $79 per night. This is an excellent rate for the city and area! YOU MUST RESERVE YOUR ROOM to get the special rate. Deadline for registration will be announced at a later date. If you sign up before it is posted you will be emailed about the deadline. Call Reservations: 1-888-874-9074 or 1-800-222-TREE and be sure to give them the group code of KRESGE in order to get the group rate. You must reserve the room with a credit card, so have it ready. If you have any problems with this number, please email Elaine at auditoryneuropathy@hotmail.com.

There is NO registration free for this conference, but if you would like to make a donation you may do so. If you would like to do this, email me at auditoryneuropathy@hotmail.com. and I will give you the information about how to go about it. Your donations will go 100% towards the conference cost. Conference registration deadline is May 30, 2002. If after this date send an email to auditoryneuropathy@hotmail.com and I will see if anyone has cancelled, leaving an opening to be filled.

This conference is not for professionals, only families of AN/Aud-Dys Patients. If any professionals are interested in donating their time and expertise, please let me know as soon as possible.



Registration Form



Please indicate the names of all family members that will be attending the conference. Be sure to indicate the ages of children, and if you will need childcare. Be sure to give the name of the person(s) with auditory neuropathy and the method of communication used. We also need a ballpark number of who will be attending the family activity on Thursday, June 20, 2002.




An * signifies a required answer.

* Please enter your email address:


* Names of Adults:

*Names & Ages of Children (if none please type in none):

*Who has auditory neuropathy?:


*Primary method of communication used?

If other checked above please explain:


Will you need childcare?
YES
NO


Do any of the children attending have food allergies?
YES
NO

If yes, please list the childs name and allergies here.


* Will you be attending the family day activities?
YES
NO


* Would you like to be listed on a roster of families participating in the conference?
YES
NO
If you would like to do this please include your address. Telephone numbers are welcome, but not required:

Arrival date:
Departure date:
Any special concerns or needs:

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