Southern Girl 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 Girl Convention P.O. Box 2956 Auburn, AL 36830