Arkansas Speech-Language-Hearing Association

ArkSHA Annual Convention 2017
Click Here to download and print a registration form
First Name (for badge)(*)
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Last Name(*)
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SLP/AUD # (students put 0)(*)
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Email Address(*)
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Address
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City
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State
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Zip
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Place of Employment
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Home/Cell Phone (*)
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Work Phone
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Early Registration ends 9/11 - Regular Registration ends 9/25 - After 9/25, Onsite fees will apply. Onsite registrations/fees will not receive a lunch on Thursday.
Registration Fees(*)
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2017 ArkSHA Membership Dues(*)
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Printed Session Handouts(*)
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Convention TShirt(*)
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50/50 Drawing Tickets(*)
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Betty Bass Scholarship Donation(*)
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To make a donation of another amount, there is a separate form on the scholarship page of the website.
Total $0.00
Thursday Lunnch(*)
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Special Dietary Needs
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I plan to attend the Thursday Social Hour (included in conference fee)(*)
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Wednesday Session:
Wednesday, October 12: 5:30pm-8:30pm(*)
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Wednesday, October 12: 6:00pm-8:00pm(*)
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Thursday Sessions:
Thursday, October 13: 8:00am-9:30am(*)
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Thursday, October 13: 10:00am-1:00pm(*)




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Thursday, October 13: 2:00pm-5:30pm (will include a 30 min break)(*)




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Friday Sessions:
Friday, October 14: 8:00am-10:00am(*)





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Friday, October 14: 10:15am-11:15am(*)




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Friday, October 14: 11:30am-12:30pm(*)




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If you have not yet registered for the Convention, you must register onsite.