Please note that on-site convention registration will now include an additional $10.00 processing fee.  To avoid this additional fee, please register here, before the February 24th Pre-Registration Deadline.

Select One:

OSLHA Members:

Member - by February 1, 2012 **  - $195.00
 
Member - after February 1, 2012** - $220.00

Full-Time Student Member - by February 1, 2012 - $60.00

Full-Time Student Member - after February 1, 2012 - $75.00

Consumer / Parent Member - $75.00

OSLHA Non-Members:
Non-Members are invited to join OSLHA prior to registering for convention and benefit from Member convention rates.
Visit our Membership/Insurance Form to apply and then continue with your registeration.

Non-Member - by February 1, 2012 - $315.00

Non-Member - after February 1, 2012 - $340.00

Non-Member Full-Time Student - by February 1, 2012 - $90.00

Non-Member Full-Time Student - after February 1, 2012 - $105.00

Non-Member Consumer/Parent - $100.00

Invite a Spouse / Guest:

Spouse / Guest (not in profession) *** - $90.00
             
                Spouse / Guest Name:

OSLHA Invited Student Participants: ( If you do not make any additional purchases in this transaction, you will be prompted to "Continue" to payment at the end of this form. Please do so to submit your form but when you arrive at the next page you may close out of it and your form will be submitted without a payment. )

Outstanding Student or Scholarship Nominee Awardee

Student Leadership Program Participant

Student Membership Challenge Winner

Invite an Unregistered Lunch Guest the the Awards Luncheon-Only - $25.00
             
                Lunch Guest Name:

OSLHA Exhibitors:

Exhibit Booth Staff Member * Does Not Include Attendance at the Awards Lucheon.

Exhibitor Company Name:

*  Does Not Include a Ticket for your attendance at the Awards Lucheon. Select "Invite a Lunch Guest Above" to add a Ticket on to your registration.  Enter your name as the "guest" and we will include your ticket in your registration folder.
             
**  Member rate for members of the Ohio Academy of Audiology (OAA), or members of adjacent state associations (Indiana, Kentucky, Michigan, Pennsylvania and West Virginia), or members of the Ohio Hearing Aid Dealers Assoc.  Must submit copy of membership card with registration and note your state affiliation in the notes/comments section please.

***  The Fee for Spouse/Guest will allow them to attend all Convention activities including Sessions, Exhibits and Special Events. Guest will receive their own name badge and registration packet.

Thursday, March 8, 2012                                                 I am a Student and will attend the following Symposium(s)
8:30 a.m. - 12:15 p.m  

Language & Literacy Symposium : Part 1    
New Ohio Common Core Standards/ Model Curriculum in English Language Arts: Impact on School SLP's by Susan Givler &
SLP's & RTI: Supporting Core Curricular Standards by Sandra Gillam

Special Populations Symposium : Part 1       
International Adoptees: Who Are They, How Do They Communicate and What Can We Do to Facilitate Age Appropriate Skills by Christina Doelling & Hanen Programs: A Mediator Model for Early Language Intervention by Toby Stephan

Follow the Swallow: Swallowing Issues Across the Lifespan Symposium: Part 1      
Infant Feeding by Amy Thorpe & Transition From Feeding to Speech by Marsha Lee-White

Thursday, March 8, 2012
1:15 p.m. - 5:00 p.m  

Language & Literacy Symposium : Part 2       
Language & Literacy Development for Children with ASD: Linking Research and Practice by Christina Yeager Pelatti & Effective Literacy Interventions for Students with Autism Spectrum Disorders by Sandra Grether

Special Populations Symposium : Part 2        
Applying "Social Thinking" Tenants to the Treatment of Adolescents with Language and Emotional Impairments by Christine Lackey & Dawn Girten & Developing Successful Interventions for Students with Fetal Alcohol Syndrome by Janice Wright

Follow the Swallow: Swallowing Issues Across the Lifespan Symposium : Part 2     
Swallowing: Sudoku for the SLP by Patricia Fisher & Adult Swallowing Issues by Mary Casper

You may choose ONLY ONE course per time slot. You will be notified prior to convention, via email, if your course selection is no longer available or if the class is full. You may provide an alternate selection at that time.

*Short Course Tickets will now be integrated into your name badge.  We will no longer provide paper tickets for these courses so you will be requried to present your name badge to gain entry.

FRIDAY, MARCH 9th
8:15-11:30 am

Select One Short Course #1: Finding Academic Success for Students with Language Disorders, Margo Kinzer Courter Short Course #2: Systematic and Engaging Early Language & Literacy Instruction, Barbara Culatta Short Course #3: SLP's Supporting Core Curricular Standards with Evidence Based Practice, Sandi Gillam Short Course #4: Enhancing Phonological and Metaphonological Skills of Children with Highly Unintelligible Speech: An Update, Barbara Hodson Short Course #5: Clinical Strategies for Supporting Communication Interactions with Young Children and Other Early Communicators, Cynthia Cress Short Course #6: Dysphagia Treatment: What are We Doing and Why are We Doing It?, Jim Coyle Short Course #7: Evidence-Based Practice Guidelines for the Management of Cognitive-Communication Deficits Following Traumatic Brain Injury, Carl Coelho

FRIDAY, MARCH 9th
2:00-5:15 pm

Select One Short Course #9: Helping Children with Autism learn Language Insights for Neuroscience, Diane Williams Short Course #10: Intervention Paradigm for Preschool, School-Aged and Special Populations Who Stutter, Corin Richels

SATURDAY, MARCH 10th
8:45 am-12:00 pm

Select One Short Course #12: Early language Development: Quick Review with Implications for Treatment, Gilson Capilouto Short Course #13: Implementing a Phonetically Consistent Approach for /r/ Articulation Disorder, Christina Ristuccia Short Course #14: Focus on Participation Assessment and Intervention Using the WHO ICF Framework, Mary Jo Cooley Hidecker Short Course #15: Working with Children who Stutter:Comprehensive Assessment and Treatment, Craig Coleman Short Course #16: Airway Babies and Those Requiring Artificial Airways, Suzanne Abraham Short Course #17: Assistive Technology for Cognition: Selection, Training and Evaluation, McKay Sohlberg Short Course #18: Adult Acquired Apraxia of Speech: Principles, Practice and Technology, Darlene Williamson

SATURDAY, MARCH 10th
2:00-5:15 pm

Select One Short Course #19: From iPad to Brain Computer Interface (BCI): Making the Right Choice, Katya Hill

If you will not be attending Short Courses in every time slot, consider supplementing your schedule with Miniseminar or Double Miniseminar selections.

Please Provide Only (1) Selection per Time Slot, listing the Double-Miniseminars and/or Miniseminar numbers you desire to attend.  While this does not guarantee seating availability as it is a first come-first serve basis but this will assist us with monitoring room capacities.

List session numbers as they appear in the Program Bulletin.  Example:  DMS1, MS3, MS32, etc.

1. 
2. 
3. 
4. 

SATURDAY DOUBLE MINISEMINAR & MINISEMINAR CHOICES:

1. 
2. 
3. 
4. 

Saturday 12:15 - 1:45 p.m.

Boxed Lunches may be Pre-Purchased below and taken to the Caucus of your choice.

CEU's are Available for All Caucuses

YES   NO 
Continental Breakfast: 
     Friday, 7:00-8:00 a.m.

YES    NO
Awards Luncheon: 
     Friday 12:00-1:30 p.m.
     Sit Down Ticketed Lunch (Limited Seating-no tickets available on-site)

 *Salad, Meatless Ravioli, Garlic Breadsick and Dessert will be served as the Awards Luncheon Selection

YES    NO
Continental Breakfast / Nomination of Officers /  University Basket Scholarship Raffle Drawing and Raffle Drawing for Door Prizes:
     Saturday, 7:15-8:15 a.m.
 

  YES:  Boxed Lunch - Saturday: Cost $16.00

Choose One:       
Ham         Turkey       Vegetarian       None

*Lunches also include: chips, whole fruit, cookie and beverage
 

CEUs/Contact Hours are available for all PRE-Convention Workshops, Short Courses, Double Miniseminars, Miniseminars, Caucuses and up to (6) Poster Sessions.

Choose ALL that Apply:

ASHA CEUs - Processing Fee = $10.00
*You must be eligible for ASHA CEU's and be a paid ASHA Registry Subscriber for this Processing Option to be worthwhile

              ASHA Number (8 digits) *Required Field for CEU Processing

AAA CEUs - Processing Fee = $10.00

             AAA Academy Number (8 digits) *Required Field for CEU Processing

            ABA Tier 1- Processing Fee = $10.00
             *You must also pay AAA CEUs processing fee to take advantage of Tier 1 processing

CE Certificate of Attendance - Processing Fee = $10.00
OSLHA will provide a certificate listing the CEUs / Contact Hours you have earned.
Perfect for those who Do Not currently pay to subscribe to any Registry option listed above!

  DO NOT include me on list to receive speech & hearing related materials from the 2012 Exhibitors who will send information after convention.

Click "Continue" at end of this form to submit your form and to pay your fees via PayPal. Please be sure to print your PayPal receipt as further confirmation will not be sent. If your total is a $0, please "Continue" and then close the payment page. You will not receive any further confirmation of submission.

Please Note: If you choose to pay with a credit card, you cannot use a card previously used with a Paypal account without logging into Paypal when prompted.

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Contact the OSLHA Business office at oslha-chelsea@ohioslha.org or 800.866.OSHA with questions or concerns.

Thank You!