2016 SSPA NATIONAL CONVENTION

Dates: Sunday 25 September to Saturday 1 October 2016

Venue: Philip Island Adventure Resort, 1775–1801 Philip Island Road, Cowes, Victoria, 3922

CONVENTION COSTS
SSPA members staying full-time onsite / AUD $
Adult/Secondary (14+) per person / $650.00
Kids (9–13 years) per person / $435.00
Kids (3–8 years) per person / $290.00
Infant (under 2 years) / $ 0.00
Non-SSPA members staying full-time onsite / AUD $
Adult/Secondary (14+) per person / $690.00
Kids (9–13 years) per person / $475.00
Kids (3–8 years) per person / $330.00
Infant (under 2 years) / $ 0.00
*Part-time attendees – Members prices (Non-members: add $40 per person per price) / AUD $
Night rate: Adult/Secondary (14+) per person / $85.00
Night rate: Kids (9–13 years) per person / $65.00
Night rate: Kids (3–8 years) per person / $40.00
Night rate: Infant (under 2 years) / $0.00
Day rate with 1 meal: Adult/Secondary (14+) per person / $35.00
Day rate with 1 meal: Kids (9–13 years) per person / $25.00
Day rate with 1 meal: Kids (3–8 years) per person / $20.00
Day rate with 1 meal: Infant (under 2 years) / $0.00

* Part-time attendees are to fill in an additional form (attached) to indicate which activities they will be in attendance at. This will determine if extra fees are required; e.g. dinner dance, off-site visits.

Please forward registration form/s and a $100 deposit per person NO LATER THAN FRIDAY, 19 August 2016 to:

Meredith Young and Tom Carney

Email:

Mail: 309/185 Lennox Street, Richmond, 3121


2016 SSPA NATIONAL CONVENTION

PAYMENT OPTIONS

Direct Deposit into:

Account name: Short Statured People of Australia Inc.

BSB: 633-000 Account No. 111096202

Please use your surname as the reference along with ‘Convention’, and then send an email to let us know how much you have deposited.

Cheque/Money Order:

Made payable to: SSPA Victorian Branch (in Australian dollars only).

Credit Card:

Credit Card Number:

Exp. Date:

Type of Card (please circle): VISA / MASTERCARD / AMERICAN EXPRESS

Other – please specify:

Name on card:

Signature:

The full balance is payable upon arrival. Please make cheques, banker’s draft or money order payable to SSPA Victorian Branch (in Australian dollars only).

Credit Cards will also be accepted on arrival. If you wish to make regular payments, please let us know.

If you have any queries contact:

Meredith Young 0438882478 or Tom Carney 0488568859

Or email us at:


REGISTRATION FORM

Please fill in the following registration form. If you are attending part-time or staying off-site, please fill out the form on the next page and include with your registration.

Minors under 18 attending the convention without their parent(s) or legal guardian must have an identified guardian for the duration of the convention. Please fill out the Temporary Guardian and Medical Release Form on page 4 and include with your registration.

IS THIS A FAMILY REGISTRATION? YES / NO IS THIS YOUR FIRST CONVENTION? YES / NO

DETAILS OF ATTENDEES (for any extras, please attach another copy of this form):
Surname / First Name / Specify age for 21 & under / Short Statured?
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
ADDRESSEE DETAILS:
Street Address:
Suburb: / Postcode: / Country:
Contact number: / Email:
Will you be attending for the full six days of the convention? / Yes / No – If no, fill in attached form
Do you have any special dietary requirements? / Yes (please specify below) / No
Do you require linen hire for the week @ $20 per person? Yes / No
If yes, please specify for how many people:
Dietary requirements, please list:
Do you require a lower bunk for sleeping? / Yes / No
Do you use a CPAP Machine for Sleep Apnea? / Yes / No
Do you use a wheelchair or scooter? / Yes / No
Do you have any special requests, needs or requirements? / Yes / No
If so, please detail:
Phillip Island Adventure Resort offers two on-site activities at an additional price during the week: Giant Swing and Flying fox. These activities will be available for $10 pp per activity. Please indicate below if you are interested in taking part in these activities:
Giant Swing: YES / NO – Number of people interested:
Flying Fox: YES / NO – Number of people interested:

ARRIVAL / DEPARTURE DETAILS:

Please make sure when you book your flight you land at Melbourne Tullamarine Airport not Avalon.

An airport transfer will be available for $10.00 each way from/to Tullamarine = $20.00 per round trip.

If you require an airport transfer, there will be two times on Sunday for arrivals. The first at 11.00am, the second at 4.00pm. And two times for departures on Saturday. The first drop off at Tullamarine at 10.00am, the second at 2.00pm. Please ensure that you book your flights with these times in mind.

Will you be travelling by car to the convention? / Yes / No
If yes, would you be willing to assist with any airport pickups or drop offs? / Yes / No
Do you need to be picked up from the airport on arrival on Sunday 25 September? / Yes / No
If yes – please circle which departure time: / 10.00 am / 2.00 pm
Do you need to be dropped off at the airport on departure on Saturday 1 October? / Yes / No
If yes – please circle which arrival pick up time: / 11.00 am / 4.00 pm
Arrival time at Tullamarine Airport: / Departure time at Tullamarine Airport:
Flight number: / Flight number:
Comments:

This form MUST be filled out if you are NOT staying full-time at the National Convention. Please fill out the table below by indicating the number of people who will be attending each event and whether or not you will require overnight accommodation and transport.

DAY/
DATE / EVENT / Overnight Accommodation Required? / Adults & Secondary
13+ yrs / Child
9–13 / Child
3 – 8 / Infant Under
2 yrs

Sun

25 Sept

/ Dinner / YES / NO
Welcome evening
Mon
26 Sept / Breakfast / YES / NO
Medical Presentations
Lunch
Medical Workshops
Dinner
Onsite themed disco
Tue
27 Sept / Breakfast / YES / NO
Bus to Philip Island Attractions
Lunch
Antarctic Experience
Dinner
Games night
Wed
28 Sept / Breakfast / YES / NO
AGM
Lunch
Bus to & from dinner dance
Formal dinner dance (13 & Over)
Onsite activities for Under 13
Thu
29 Sept / Breakfast / YES / NO
Lunch
Early BBQ dinner
Penguin parade
Bus to & from Penguin parade
Fri
30 Sept / Breakfast / YES / NO
Short Artss
Lunch
Sports Activities
Dinner
Talent Night
Sat 1 Oct / Breakfast


TEMPORARY GUARDIAN & MEDICAL RELEASE FORM

All minors (under the age of 18) attending the 2016 SSPA National Convention at Philip Island, Victoria, from Sunday 25 September to Saturday 1 October without a parent or a legal guardian must have a temporary guardian designated for the week of the convention. Parent(s) of the unaccompanied minor attending the convention must complete the following form and return with the registration form/s:

Child’s full name:
Date of birth:
Declaration:
I hereby give permission for my child (insert name) to receive full medical treatment in the event of an emergency.
Exceptions (if any):
Allergies/medications (if applicable):
I authorise (insert name) to be the legal guardian for my minor child during the week of Sunday 25 September to Saturday 1 October 2016 during the SSPA National Convention to be held at Philip Island, Victoria.
Parent(s) Details:
Name
Signature
Address
Mobile number
Guardian’s Details:
Name (must be over 21)
Signature
Address
Mobile number

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