Registration | Pennsylvania Council of the Blind


		
		
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
          2016 Convention Registration Form
Please select "Yes" or "No" for each question when given the option.
Full Name: * 
Address: * 
City: * 
State: * 
Zip Code: * 
E-mail: 
Phone (please include area code): 
Format: * Print Braille Cartridge Email
Pre-Registration price $10. After October 7, registration price $12.
Pre-Registration: *  .  
Dollars Cents
Thursday October 20, 2016
9:00 PM The Golden Triangle Council of the Blind presents…
The Perceptions Game:
We all know that people with sight often have inaccurate perceptions about the abilities of people who are blind or visually impaired. The question for this evening of FUN is “How accurate are our perceptions of what someone looks like or does simply based on his/her voice?”
When we hear a person’s voice or his/her manner of speaking, since we can’t see them, we create a mental image of them in our heads. Have you ever wondered how accurate those images are? Let’s find out!
The first 9 willing contestants who sign up on the registration will play for prizes! The game is open to anyone with or without vision loss. Please indicate on the registration form whether or not you intent to participate.
I will participate in the Perceptions Game on Thursday Night: * Yes No
Friday, October 21, 2016 


8:30am - 5:00pm - Conference Registration, Mezzanine Level (Across from Grand Ballroom)
9:00am - The PCB Friday Morning Movie, Grand Ballroom A-C
Join us Friday morning for a conversation on Audio Description along with a full screening of the movie “The Martian” with Audio Description. The morning will begin with a presentation from ACB’s Audio Description Project Director, Joel Snyder. It will move into the full viewing of the movie which will include audio description. No headphones are required. The movie visuals will be projected so all should feel free to attend.
 *
Yes, I will participate in the Friday Morning Movie No, I will not participate in the Friday Morning Movie
9:00am - PCB Audio Darts Pre-Tournament & Instruction (Grand Ballroom D)
10:00am - PCB Audio Darts Tournament. Teams of two will compete in multiple rounds. Cash prizes will be awarded to the three top teams. The minimum prizes are:

First place - $40.00 per person

Second place - $30.00 per person

Third place - $20.00 per person

There is a $5 registration fee for this event: *
Yes, I want to participate in the PCB Audio Darts Tournament No, I do not want to participate in the PCB Audio Darts Tournament
If Yes, please indicate the name of the team if known: 
4:30 PM - An Introduction to Indoor Navigation: Workshop, Grand Ballroom A-C

Now that you know a bit more about indoor navigation, get a feel for how this works.

For those without access to an iOS device who want to sample the technology, sign up to work with a peer guide to see how indoor navigation can work for you! *
Yes, I will participate. No, I do not want to participate.
Saturday October 22, 2016
Ordering lunch is not required to attend meeting. Lunch can be included for $20.50. Please select your preference if you wish to purchase lunch.  *
Yes, I would like a meal at the Saturday President's Lunch for $20.50
No, I do not want a meal at the Saturday President's Lunch
12:00 PM -   President’s Lunch
 
** open to chapter officers only** * Yes No
Sandwiches Served on Chef’s Choice of Croissant or Kaiser Roll, Chef’s Choice of Side Salad or Creamy Coleslaw, Chips, Homemade Cookie, a piece of Whole Fruit and a Bottle of Water or Soda. Assembled in a Personal Carry-Out Box; your choice of:
Ham & American Cheese
Turkey & Swiss Cheese
Roast Beef & Cheddar Cheese
Vegetarian Option: Roasted Vegetable & Hummus on Kaiser Roll
Saturday Banquet 

Meals include fresh spring mix salad , Chef’s choice of starch, dessert, vegetable including a basket of bread and butter, iced tea and coffee service.
Saturday Banquet Chicken Marsala: Sauteed boneless breast of chicken, topped with a wild mushroom sauce. ($33.00)
Saturday Banquet Prime Rib of Beef: Roasted Prime Rib with au jus. Served with horseradish cream. ($42.50)
Saturday Banquet Roasted Garlic and Herb Pasta Primavera: Orecchiette pasta with flame roasted vegetables tossed in a garlic cream sauce. ($28.00)
9:30 PM – The PCB After Hours Speak Easy!
Wait, it’s not over! Sit back with your favorite cocktail in hand while we take you back in time when enjoying an adult beverage required a more clandestine approach.  
While you take this trip to a time not that long ago, you’ll be entertained by some talented members of PCB.

Please indicate on the registration form whether or not you intend to participate. *
Yes No
Sunday October 23, 2016
Sunday Business Breakfast: 

Includes pre-set baskets of assorted pastries, muffins, danish, and cinnamon rolls with fruit preserves and jelly. Assorted chilled juices
Fresh Columbian coffee, decaf and tea.

Choose one from the below:
Scrambled egg breakfast: Scrambled eggs, breakfast potatoes and bacon or sausage links  with individual bowls of sliced seasonal fruit ($19.50)
Vegetable omelette filled with shredded cheese, grilled peppers, and onions.  Served with breakfast Potatoes ($19.50)
Continental Breakfast: Assorted pastries, muffins, Danish, and fruit preserves, butter ($11.00)
Include a PCB Insulated Travel Mug at the special rate of $6 or 2 for $10. Please check the first box if you would like to purchase 1 PCB Insulated Travel Mug for $6 or check the second box if you would like to purchase a set of PCB Insulated Travel Mugs for $10 and then select the number of sets you would like to purchase.
Yes, I want 1 PCB Insulated Travel Mug for $6.00
Yes, I want a set of PCB Insulated Travel Mugs for $10.00
Quantity
50/50 Room Rate Fund Tickets. Please check box and enter the quantity of tickets you would like below: 
Yes, I want 50/50 Room Rate Fund Tickets
Quantity
PCB Convention Donor:
Patron ($5)
Contributor ($10)
Benefactor ($25)
Mobility Impairment: * Yes No
Guide Dog User: * Yes No
First Time Attendee: * Yes No
Please review your selections below. Items that do not have a cost are not shown in this section. The total cost is listed at the end. 
To pay online, click submit and you will be connected to our paypal submission form.
To pay via check or cash, please click submit and then send payment to:
PCB Office
931 N. Front Street
Harrisburg, PA. 17102
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