2016 Convention Registration Form

Please select "Yes" or "No" for each question when given the option.
Full Name: *
Address: *
City: *
State: *
Zip Code: *
Phone (please include area code):
Format: *
Pre-Registration price $10. After October 7, registration price $12.
Pre-Registration: *

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: *

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.

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:

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!

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. *
12:00 PM - President’s Lunch
** open to chapter officers only**
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:
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.
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.


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:

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.
50/50 Room Rate Fund Tickets. Please check box and enter the quantity of tickets you would like below:
PCB Convention Donor:
Mobility Impairment: *
Guide Dog User: *
First Time Attendee: *

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