CONFERENCE LODGING AND REGISTRATION
Overnight Lodging:
The Radisson Hotel on Madison's west side is the conference hotel and all conference activities will be held there. Again...you are responsible for arranging your own overnight lodging.
To aid you in staying on-site at the conference, we're reserved a block of rooms that will be held at a discounted nightly rate of $79/room (not including tax) with up to a 4-person occupancy. To be eligible, you must identify yourself when making a reservation as being an attendee at the Midwest Regional Aphasia Conference. This block of reserved rooms will be held UNTIL SEPTEMBER 19th. Please book a room immediately upon your decision to attend.
Fifteen rooms are designed as "handicapped equipment" with larger bathrooms having grab bars. These special rooms are available on a first-come basis. All rooms, though, at the Radisson are "handicapped accessible," accommodating to someone in a wheelchair or motorized electrical chair.
Other hotels are nearby the Radisson...and if your needs are not met, you may wish to explore other possibilities...via the internet or Madison Convention & Visitors Bureau (608) 255-2537.
(2) OPTIONAL: Saturday Afternoon Monona Lake Cruise/Lunch
We've arranged a way for you "to view" the City of Madison and its fall surroundings in a relaxed manner. For those not familiar with its locale, Madison's city's center rests on a narrow isthmus between two sizable, glaciated lakes, Mendota and Monona (with shorelines of 10 miles+). From Lake Monona, there are captivating views of the state's Capital Building and the recently completed Monona Terrace Convention Center (a Frank Lloyd Wright inspired-design).
The cruise boat accommodates folk in wheelchairs and is "weatherproof," enclosed and protective from cold temperatures and rain. It accommodates up to 60 passengers. We'll be on the water for a couple of hours, during which lunch will be served. The cost, per person, is $35.
Should you wish to join us on this outing, please specify any special ASSISTANCE that might be necessary in getting a member of your party to and from the boat. It will aid us in planning for and meeting this need. There's a place on your registration form to share this type of information.
(3) Menu Preview
* Friday Dinner Buffet: beef/seafood as well as fixins (potatoes, rice, vegetables, salads, and desserts!)
* Saturday breakfast: classic continental breakfast (fruit, breakfast pastries, bagels and cream cheese, assorted cold cereals with milk, coffee, decaf, orange juice and teas)
* Sunday Wisconsin Farm breakfast (eggs, sausage, bacon, pancakes, hash browns, fruits, pastries, orange juice, milk, coffee and teas).
We will try to accommodate special dietary needs, if possible.
MIDWEST REGIONAL APHASIA CONFERENCE
MADISON, WI
OCTOBER 15-17, 2004
REGISTRATION FORM
(ONE FORM PER HOUSEHOLD)
Print how you wish to have your conference name tag read:
NAME _____________________________________________________________________________
NAME _____________________________________________________________________________
NAME _____________________________________________________________________________
Address_____________________________________________________________________________
City/State____________________________________________________________________________
E-Mail _________________________________________
Phone Number _________________________________
REGISTRATION FEES:
You can register for the entire conference or for parts of it. Registering for THE ENTIRE CONFERENCE allows you access to all program and social activities EXCEPT the Saturday Afternoon Boat Cruise/Lunch on Lake Monona. That entails a separate cost. To register to attend the entire conference...you need only complete Section (1) below.
No. Total
(1) Entire Conference ____ x $95/$105 = ____
Friday PM; Sat AM; Sat PM; Sun AM
$95.00 Pre-registration-payment on or before Sept 1, 2004
$105.00 Late registration-payment after Sept 1, 2004
Registration to attend SELECT PARTS:
No. Total
(2) Just Friday PM: Dinner and Entertainment ($30.00) ____ x $30 = ____
(3) Just Saturday AM: Neurologist/Round Table Sessions ($25.00) ____ x $25 = ____
(4) Just Saturday PM: Ice Cream Social ($15.00) ____ x $15 = ____
(5) Just Sunday AM: Breakfast/Vickers/Group Sessions ($30.00) ____ x $30 = ____
(6) Friday PM and Saturday AM and PM ($70.00) ____ x $70 = ____
(7) Saturday AM and PM and Sunday AM ($70.00) ____ x $70 = ____
(8) OPTIONAL Saturday Afternoon Outing
Boat Cruise/Lunch ($35.00) ____x $35 = ____
(9) Sum Totals of Lines 1-8 GRAND TOTAL $__________
PLEASE MAKE CHECK OUT TO: Midwest Regional Aphasia Conference
MAIL TO: Living with Aphasia, Inc.
6344 Hillsandwood Rd
Mazomanie, WI 53560
ADDITIONAL NEEDS:
(1) Saturday Afternoon Cruise
ANY SPECIAL NEEDS in getting to and from the boat:
____________________________________________________________________________________
____________________________________________________________________________________
(2) Other____________________________________________________________________________
____________________________________________________________________________________