Self Determination Banquet

register to attend below!

Tuesday June 7, 2022
5:30 PM
Route 61 events, 1437 PA Route 61 Sunbury
The 2022 Self-Determination Banquet will be held at Route 61 Events, located at 1437 PA route 61 Sunbury. Seating is limited so be sure to RSVP by, May 13th. A sit down, family style meal will be served and a guest speaker featured. Awards will be given. Nominations for those awards are due by May 2nd. A nomination form needs to be completed on the nominations page, the award is a once in a lifetime award.

A zoom link will be made available for those who do not wish to attend the event in person, and gift cards will be provided so you may also enjoy a meal.

Register now! Limited to the first 150 registrants!!!
Register BEFORE May 13th for the banquet

self determination banquet attendee Sign-up Form

Fill out and submit this computer form or email bhab123@ptd.net

There is no cost to event

* Indicates required field

In Person Or Virtual *

Self Advocate Name *

First

Last

Home Address *

Email *

Phone Number *

Names of staff (if any) attending. If you are an agency bringing several people, list all here noting names that are self advocates *

Total number attending *

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register to attend below!