Registration Form For:
The 2009 Texas Statewide Independent Living Conference “Relay Independence: No Challenge Too Great!” Austin, Texas- March 9-10, 2009
Presented by:
Texas State Independent Living Council, (SILC) Department of Assistive and Rehabilitative Services, (DARS) Austin Resource Center for Independent Living, (ARCIL)
CONFERENCE GOALS: To address topics of interest to youth with disabilities and professionals working in transition and related fields, to provide opportunities for participants to interact with legislators, and to recognize outstanding accomplishments promoting independence of people with disabilities. TARGET AUDIENCES: People with all types of disabilities especially youth, family members, transition rehabilitation counselors, independent living service coordinators, disability advocates, and all others interested in assisting young Consumers to successfully integrate into the community.
CONFERENCE LOCATION:
Courtyard Marriott (Downtown) th 300 East 4 Street, Austin, TX 78701 http://www.marriott.com/courtyard/travel.mi
HOTEL RESERVATIONS:
1-800-321-2211, ask for the Texas State Independent Living Conference rate, (Single $85.00 per night, plus a 17% occupancy fee). The cut off date for the group block rate is February 14, 2009. To sign up for the conference, please complete the information on the next page and return with the registration fee to the following address: TEXAS STATE INDEPENDENT LIVING COUNCIL 5555 North Lamar Blvd., Suite K-103 Austin, TX 78751 (Make checks payable to Texas State Independent Living Council)
REGISTRATION DEADLINE: February 06, 2009
REGISTRATION FEES: □ $50.00
General Registration Personal Attendant/Spouse Awards Banquet Ticket
□
$36.00
PLEASE TYPE or PRINT the following information
Name: Title:
Organization:
Mailing Address:
City:
State:
Zip:
Phone:
TTY:
Fax:
E-mail: Do you need printed materials in another format?
Name of Attendant: Please specify.
If you require accommodation for a hearing impairment, what method do you prefer?
Do you have any special dietary requirements?
Please specify.
Do you have special needs in terms of hotel accommodations, etc.? Please explain: Attendees that require accessible sleeping accommodations must contact Regina Blye, Executive Director of the Texas SILC, at (877) 371-7353, to reserve a room. The hotel has set aside 19 wheelchair accessible rooms and 10 rooms with assistive technology for people who are deaf and/or hard of hearing.
HOTEL PARKING:
Valet Overnight: Self-Parking Overnight: $21/night plus tax $16/night plus tax Valet Daily: Self-Parking Daily: $12/day plus tax $6 for 2 hrs then increased to $16 for 8 hrs
TRANSPORTATION:
Metro Access- 512-478-9647 Yellow Cab- 512-452-9999 Austin Cab Company- 512-929-0939 Super Shuttle- 1-800-258-3826
FINANCIAL ASSISTANCE:
A limited number of stipends are available to cover the cost of lodging, meals, and registration. If you are interested in applying for such assistance, contact Regina Blye, Executive Director, by email at admin@txsilc.org or call toll free:(877) 371-7353, fax: 512-371-7370..