Empowering Voices: Sharing Our Journey Annual Fraser Region Self Advocates Conference 2016

When: Thursday February 25th , 2016 from 9:00am-3:00pm Registration begins at 8:30am

Description: Self Advocates from across the Fraser Region will gather to celebrate Empowering Voices: Sharing Our Journey. You can expect to have fun while hearing empowering personal stories from self-advocates.

Location: Cascade Community Church 35190 DeLair Road Abbotsford, BC V3G 2E2 REGISTRATION INFORMATION

Conference cost is $5 and must be paid before the conference date. No payment at the door. Deadline : February 11 th / 2016

Please make your cheque out to:

Community Living BC Please mail and/or drop off your cheque and registration to: Community Living BC #2017 – 7495 132nd Street Surrey, BC, V3W 1J8. Or #201-2777 Gladwin Road Abbotsford, BC, V2T 4V1 **Please do not mail cash. Cash can be dropped off at your local CLBC office.

Contact Information: For questions regarding the conference, please contact

Kelly Nowlan: [email protected] 604-768-5317 REGISTRATION FORM Empowering Voices: Sharing Our Journey Annual Fraser Region Self Advocates Conference 2016

PLEASE PRINT

______Last Name First Name

______Mailing Address

______City Prov Postal Code

______Telephone Number E-mail

Please Circle the CLBC funded supports and services that you are currently receiving:

Home Share Community Inclusion No support/service

Outreach Skill Development Other Support/service Other Residential Employment

A light breakfast and light lunch will be provided. Please let us know below if you have any dietary restrictions.

Dietary restrictions:

How many self-advocate conferences have you attended in the past?

Will a support worker be attending the conference with you? Please circle yes or no below:

Yes – I will be bringing a support worker with me for the day

No – I will be attending the conference without a support worker

Would you like your picture to be taken during the event? This picture may be shared in newspaper articles or info flashes within CLBC that are sent out to describe the event. Please circle yes or no below:

Yes – I would like to have my picture taken during the event

No- Please do not take my picture during the event

If you have a small business (greeting cards, t-shirts, arts and crafts, jewelry ect.) and would like to have a booth at the conference to showcase your products please include a description of your business below. Only five tables will be reserved and we will let you know if you have been selected.

Description of business: