Local Arts Leaders Conference Registration

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First name

Last name

Preferred name

Name to appear on your name tag.

Organization name

Job title

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone number

Email address

Please check for accuracy.

Please list any dietary restrictions. The center can accommodate gluten free, dairy free, vegan, vegetarian, specific food allergies and specific religious dietary restrictions.

Are there any meals that you will not attend?

Yes

Please list date and time of meal:

Do you require a first-floor room due to mobility issues?

Yes

Second floor rooms are only accessible by stairs; there is no elevator in this facility.

Is this your first time attending a local arts council leaders conference hosted by the N.C. Arts Council?

Yes

Are you interested in a guided tour of the “SALT Block" (Science, arts and literature together complex) in Hickory on the afternoon of October 22?

Yes

Do you plan to pay by check or online?

Check

Online

Mail payment by check to:

Arts Culture Catawba
243 3rd Ave. NE Box 5
Hickory, NC 28601

Pay for registration online

Accessibility

Accessible parking, restrooms, and seating options will be available on the main floor.
All speakers will use a microphone. If you are asking a question, please use the microphone available to participants in the meeting room.
A limited number of assistive listening devices can be made available with prior request.
Sign Language interpretation, CART captions, and audio description can be made available with prior request.
If you need any of the accommodations listed above, or others to make the most of our time together, please contact Leigh Ann Wilder by phone at 919-814-6508 or email leighann.wilder@dncr.nc.gov to discuss.

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