*Required Field
FAMILY INFORMATION
*Family Name:
*Street Address:
*City:
*State: *Zip:
*Phone:
*Email
*Email (again)
*Parent 1 Name:
*Parent 2 Name:
*Multiple's names and ages:
(please specify boys/girls
& fraternal/identical or both):
Additional Children's
names and ages:
Additional Adult's Names:
Comments:
Every person (adult or child) needs to be listed above
Total Number of parents: @ $120.00 ea
Total Number of
accompanying adults:
@ $100.00 ea
Total Number of children
(age 12-17):
@ $90.00 ea
Total Number of children
(age 2-11):
@ $80.00 ea
Children under age 2: No charge (also, no food is provided)
 
FAMILY BOOK
Parents Occupations:
What you've learned
from parenting multiples,
funniest happening, or
what you've been up to:
Upload Your Photo:


(Must be a .jpg or .gif file, under 3mb)
 
MEDIA PERMISSION
WE SET UP THE INTERVIEWS AND OTHER OPS — ALL YOU DO IS TALK TO THE MEDIA!

If you’d like your family to be considered for a great mix of internet, print and television/radio media interviews in conjunction with this year’s event, please complete the form and sign below. Kim, or another PR committee member, will notify you via email or phone when media interviews come up that match your situation--whether it’s an interview with a newspaper, TV station, or a national magazine or a chance to contribute to a blog, podcast or otherwise spread the word about all that is good about The Triplet Convention. In past years The Triplet Convention has been covered by People Magazine, Associated Press, The Washington Post and on a variety of network news programs and we hope to receive our best
coverage yet this summer.
• Families wanted to help us promote The Triplet Connection by talking up the wonderful world of higher order multiples with media before, during, and after the convention.
• Many different traditional news interviews and photo ops are expected similar to those attendees have participated in during prior years.
• Internet-focused media campaign to reach an even broader audience through blogs, social networking, and podcasts.
• Online newsroom at www.tripletconvention.com
   
Any websites or media you have PERSONAL contacts with?
OTHER websites, blogs, or internet communities that serve higher order multiples you may know about?
What's unusual about your multiples that sets them apart and might make a good media story? Are they identical, physically challenged, very talented, adopted, of a race other than Caucasian, or is there something else interesting to tell?
By submitting this form you are agreeing to be interviewed
and/or photographed by the media.
 
WORKSHOP REGISTRATION

Each Adult attending the workshops needs to list their five choices in order of preference. You will be assigned TWO (2) workshops.

More information on each workshop can be found on our Workshops page.

Sign-up your teen(s) if he or she will be attending the "Teen Talk" workshop
Sign-up grandparents if they will be attending the 1:00 p.m. "Grandparents" workshop.

Parent #1:
(please list workshops in order of preference)
Parent #2:
(please list workshops in order of preference)
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
Teen Talk Workshop:
(please list teenager's names)
Grandparents Workshop:
(please list grandparents's names)
 
CONVENTION T-SHIRTS & DVDs

Convention T-shirts are 100% pre-shrunk cotton and
AVAILABLE ON THIS FORM ONLY.
All t-shirts can be picked up at the convention.

Youth Sizes
X-Small: @ $14.00 ea Medium: @ $14.00 ea
Small: @ $14.00 ea Large: @ $14.00 ea
X-Large: @ $14.00 ea
Adult Sizes
Small: @ $15.00 ea X-Large: @ $15.00 ea
Medium: @ $15.00 ea 2X-Large: @ $16.00 ea
Large: @ $15.00 ea 3X-Large: @ $17.00 ea
Number of DVDs: @ $25.00 ea
Registration deadline is May 31!
Afterwards a $50 late fee will be applied. Late registration will be accepted until June 15.
*Security Code:
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