2024 WyCB Convention Registration Form

“Breaking Barriers”
2024 WyCB Annual Convention Online Registration Form
Saturday, September 28

This year’s Convention is free for WyCB members, $20.00 for nonmembers. Though this year’s Convention is free, please complete the registration form if you are planning to attend in person or via Zoom.

Registration deadline is September 14.

Two ways to submit the registration form:

1. You may complete this Convention Registration online form below or
2. Download this 2024 Convention Registration Form, print and mail ($20 for nonmembers) and $5. for lunch, if desired, to:
   WyCB C/O Tom Smyth
   123 N. Lowell St, Casper, WY  82601

Please make your check payable to “WyCB”. If you have any questions or suggestions about anything regarding the convention, please call us at:  307-629-1916.

# # #

Go to Membership Application Form page.

MS Word Downloads:
Download MS Word 2024 Convention Cover Letter.
Download MS Word 2024 Convention Program.
Download MS Word 2024 Convention Registration Form.
Download MS Word 2024 Election Ballot.
Download MS Word Membership Application Form.

2024 WyCB Convention Registration Form

Full name *

Street address *

City *

State *

Zip *

Primary Phone Number *

Email Address *

Re-type Email Address *

I prefer to receive my convention documents in: (choose one) *

Large Print

Email

Braille (register by September 1st)

I plan to attend the convention: (choose one) *

In person in Casper

Via Zoom from home

My choice of pizza for lunch, if desired, is: (choose one)

straight cheese

vegetarian

pepperoni, mushroom, & olive

Your permission to be included in photos and video during the convention. Please choose one. *

Yes

No