Apply for a Scholarship Please complete this form to request a ticket to the Convention This will cover your $40 Registration Fee only. Meals are not included. Your Name*FirstLast Name on Badge*FirstLast Initial Your Email* Email confirmation* Phone Number* Area Code - Phone Number Sobriety Date* Can you be of Service? Yes, I can give one hour of service while at the Convention. I will check in at the Registration desk.SubmitReset