THIS FORM IS FOR ONLINE CREDIT CARD REGISTRATION ONLY
This form is for credit card online registration only. If you want to mail a check or money order for registration, download a PDF version of this form HERE
. Then print and mail the form with your check. Thank you.
Valid e-mail is required.
Dog must stay on leash.
No charge for registration, but meals must be purchased. Please fill in name of the registered person you are assisting below.
Name of Person You Are Assisting
Full registration prices include workshops, exhibits, entertainment, speakers, and the following events: Wednesday Reception, Thursday Lunch, Friday Lunch and Banquet, Saturday Karaoke Party, and Sunday Breakfast.
Minimum of $50.00 to start, available for members only. Date of start will determine the amount owed. You may pay by periodic installments, or all at once after the initial payment, but balance needs to be paid in full by August 31, 2019. Check EZ Pay Plan in field above and fill in the amount you wish to pay on line below.
Apply this amount to Registration:
Only applicable when combined with spouse/domestic partner's full registration.
(First name will be shown on ID badge)
Note: Friday Banquet or Saturday Karaoke Party can be purchased separately below. Thursday or Friday registration includes lunch if registered before 10/1/19. No lunch on Saturday.
Online Registration Closes October 1, 2019 at 11:59PM
On & after 10/2/2019, online registration is CLOSED and you may register onsite only. Onsite registration includes workshops, speakers, and exhibit hall. Price for onsite will be $30.00 higher than regular registration fee, across the board for all full registration Single day onsite registrations will increase by $10.00 per day. No meals are included with onsite registration. Meals can be purchased onsite IF the hotel can accommodate the request. We encourage you to register in advance for the best value.
A LA CARTE Meals/Events
Please specify below the number of ADDITIONAL meal tickets (such as for a non-registered guest, or a single day registration meal/event that is not covered). Please note that all meals are included in a full registration, except for onsite registration. No meals are included with any onsite registration, either full registration or single day. Single day registration meals as noted above.
Please fill in the total amount of donation. (i.e. 50. for 50 dollars.)
PLEASE NOTE: THIS IS THE AMOUNT THAT WILL BE CHARGED TO YOUR CREDIT CARD. PLEASE BE SURE IT REFLECTS WHAT YOU ARE PAYING FOR.
Please pay the grand total listed above in full.
Method of Payment
This is for Credit card payments that are processed online only, payable thru Stripe, our preferred online credit processor. Stripe will accept American Express, Visa, MasterCard, or Discover credit cards. Those wishing to pay by check or money order, need to print and fill out the PDF form.
***PLEASE NOTE: GRAND TOTAL ABOVE IS THE AMOUNT YOU WILL BE CHARGED ON YOUR CREDIT CARD. PLEASE MAKE SURE IT IS THE CORRECT AMOUNT YOU WISH TO PAY BEFORE SUBMITTING.***
All workshops/events will feature sign language interpreters and CART (Communication Access Real-Time Translation). Workshop rooms will be looped, to assist those with T-coils.
Please note any dietary needs or allergies:
Please check if the following special needs are requested:
By selecting YES below, I agree to allow the ALDAcon roommate coordinator to share my information via email with any ALDA attendee of the same gender. Also I agree to coordinate with my potential roommate to determine if we are a match. We will discuss items such as service animals, allergies, smoking, etc. We will then notify the roommate coordinator by email of our decision after determining if we agree to room together & share expenses. NOTE: All room reservations are the responsibility of the agreed- upon roommates. Do you want a roommate?
I am a:
Reserve Your Hotel Room TODAY
Reserve your hotel room at the Marriott Kansas City Overland Park Hotel in Overland Park, KS today! The ALDAcon room rate is $121.00+ tax, and will be good until October 1, 2019 or until room block is filled. You can call 913-451-8000 to speak with hotel directly. To access the ALDAcon 2019 group rate, please use the reference code: ALDALDR.
Online reservations may be made at the following link: HOTEL
By submission of this registration form and attendance at the 2019 ALDAcon, you agree that ALDA Inc. may use such photographs or videos taken of you at the convention, with or without your name, for any lawful purpose, including for example such purposes as publicity, promotion, illustration, advertising, and Web or social media content.
Requests for refunds (minus $50.00 handling and processing fee) will be honored until July 31, 2019. No refunds will be given from August 1, 2019 on. Contact ALDAcon 2019 Planning Co-chair (Tina.Childress@gmail.com) for consideration of unique circumstances, such as illness or a death in the family.