Please Register Your Family(s)...

Print out a copy of this page after completion if you wish to have a copy for your records

Last Name
First Name:   
E-mail   
Phone:  (H) (C) 
Address :   

Please enter the names of all family members attending, and ages of all children.

Last Name First Name If a child, list age on 2/12/2010

NOTE - if you have more than 7 family members, continue on the next section - fill in 'continued' as the family name.

If you are sharing a room with other families, please fill out the boxes below:

Family #2

Name:   
E-mail   
Phone:    (H)    (C) 
Address : 

Please enter the names of all family members attending, and ages of all children.

Last Name First Name age

 

Family #3

Name:   
E-mail   
Phone:    (H)    (C) 
Address : 

Please enter the names of all family members attending, and ages of all children.

Last Name First Name age

 

Family #4

Name:   
E-mail   
Phone:    (H)    (C) 
Address : 

Please enter the names of all family members attending, and ages of all children.

Last Name First Name age

 
Do you wish to be included in the directory?

What day are you arriving?

What day are you departing?

Would you or any members of your family be willing to host a funshop or lead a discussion?

If yes, please click here for a funshop entry form or click here for a speakers entry form. They will open in another window and you can fill them out when you are done here.

Would you or any members of your family be willing to help with:
Registration / check in?

Handing out t-shirt orders?

Carnival? (volunteers needed for manning ticket &  game booths, set-up, clean-up)

Any additional places you would like to volunteer to help or specific days/times you would like to assist?  

Before we go on, there is a small bit of 'fine print'... By submitting this form I understand and agree to the following: