Southern Girls' Convention 2001 Registration Form 

Name: ____________________________________________________________ 

Address: __________________________________________________________ 

__________________________________________________________________ 

Phone Number: _____________________________________________________ 

E-mail: ____________________________________________________________ 

I prefer to be contacted and updated through: __e-mail __snail mail __phone 
(check one, but keep in mind that e-mail is easier and cheaper for us!) 

Will you need a place to stay? _________________________________________ 

Do you have allergies to animals? Which ones?___________________________ 

Do you prefer non-smoking or smoking housing?___________________________ 

Would you be willing to camp outside?___________________________________ 

Will you need childcare? For how many children?__________________________ 

Is there anyone we know that you would prefer to stay with? _____________

_________________________________________________________________________

Do you need anyone to meet you at the bus station/train station/airport?

_________________________________________________________________________

Do you have any special dietary needs? (vegan, vegetarian, allergies, etc.) 

________________________________

Can you do a workshop? If so, pertaining to what?_________________________

__________________________________________________________________________

Do you need a table reserved? If so, for what? ___________________________

__________________________________________________________________________

Can you perform/do you know someone who can? If so, who? 

____________________________________________________________________ 

What are some workshop topics that you would like to see discussed? 

____________________________________________________________________ 

Any other suggestions? 

____________________________________________________________________ 

____________________________________________________________________ 

To make this a collective effort, we need your help. Would you be
willing to  help with security, childcare, food, cleanup, registration, etc.? 

___yes, I'd like to help with_______________________________________

___no thanks 

Enclosed is my:
	__$15 registration fee
	__ partial registration fee and commitment to volunteer

(Please send well-concealed cash or checks made out to
Auburn Women's Organization) 

When we receive your registration, we will send you a convention
pamphlet and map. 

Send to:
Southern Girls' Convention
P.O. Box 2956
Auburn, AL 36830