Camp TBi - Orlando 2017

Step 1 — Select Tickets

  Quantity Price Each Ticket Type
$35.00 Camp TBi Survivor Ticket
$35.00 Camp TBi Caregiver Ticket
Additional Questions
Select your county from the list below.* Age (You must be 16 or older to attend).*
Please indicate your gender.*
What is your T-Shirt size?*  
Check the box that best describes you.*
Please elaborate or explain if you chose professional or other above.
How many years post injury are you or your loved one?  
Do you attend a support group?
What is your support group's name or your support group leader's name?  
Is this your first CampTBi?
If no, how many years have you attended in the past?  
Give the first and last name of your emergency contact. (Off Site)*
How is your emergency contact related to you? What is the phone number for your emergency contact?* (ex: 123-123-1234)
Please check any of the following assistive devices that you use.
Do you need a Spanish interpreter?*
Do you need an American Sign Language interpreter?*
Will you need to take medication during the event? (9AM - 6PM)
Can you take your medication on your own or do you need assistance or reminders?
Does your medication need to be refrigerated?
Do you have any swallowing restrictions or adjustments?
Please describe any dietary restrictions or preference you may have. (i.e. vegan, vegetarian, diabetic).
Please describe any allergies you may have.
 
Waiver

Registration may not continue if you do not agree to abide by the waivers presented here. Please read carefully before you agree to these terms:

Photo Release:

I am 18 years of age or older and I give Brain Injury Association of Florida the absolute right and permission to use my photograph or video in its promotional materials and publicity efforts without payment or other consideration. I understand that the images may be used in a publication, print ad, direct-mail piece, electronic media (e.g. video, CD-ROM, Internet), or other form of promotion. I release the organization, the photographer, their offices, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use.

 


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