Nebraska Hands & Voices Guide by Your Side
Mom's Night Inn Nov 5-6, 2016
For moms and female caregivers of children who are deaf or hard of hearing
FAIRFIELD INN
902 Winter Creek Dr,
Scottsbluff, NE 69361
308-663-3500
Do not make reservations through the hotel, your registration will include your hotel stay
Saturday, November 5 thru Sunday, November 6
Arrival time: 1 p.m. Saturday,
Event ends: Sunday, at noon
No childcare available
Saturday- snacks and dinner will be provided, Sunday – breakfast will be provided
Hotel room check in is at 3:00, early check in is possible pending room availability
Registration deadline OCT 21, 2016
Topics include: Dealing with guilt, grieving, self advocacy,
socialization, siblings, communication options,
a deaf panel and much more
Fun activities include:
sweets, painting, great networking, fun and much more
Cost:
$100 per person- the family is responsible for $40
($40.00 to be paid by the family, $60 will be paid by your local regional program)
$20.00 per person includes one or both days with no overnight stay
Full and Partial scholarships are available; please contact Shelli for more information.
Any questions please contact Shelli Janning at [email protected]
or call 402-426-1915
Please send completed registration and check to:
Nebraska Hands & Voices/ Shelli Janning
1376 Jackson St
Blair, NE 68008
Mom’s Night Inn Registration Form
Name:__________________________________________________
Address:________________________________________________
City, State, Zip Code: _____________________________________
Phone: ____________________
Email ______________________
Special requests: _________________________________________
Child’s degree of hearing loss________________________________
Do you need an interpreter?
Spanish
Sign language
Sign language and Spanish interpreting services are available and are free of charge. Services will be provided but will not be
guaranteed if requests are not made by October 10. Please let us know if you will need any additional accommodations.
Registration Fee (circle one):
Single Room
$40.00 paid by parent / $60 paid by your local Nebraska Regional program
Your local regional program is:
_____CWNP
_____ NRP
_____MRP
_____ SNRP
Attending weekend without a room $ 20.00
Total Enclosed $_______________
Please write a $40 check out to Nebraska Hands & Voices
If you would like to be considered for a scholarship, please contact Shelli Janning
[email protected] or call 402-426-1915
Deadline for scholarship applications, October 10, 2016
Scholarships are limited so please request asap if interested.