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Revised 02/27/08 |
MBC Spring Foray Registration Form – May 23 – 26, 2008 Registration deadline: APRIL 26 See Arisaema for making room reservations at Holiday Inn, Spring Lake, Michigan. You are responsible for making your own reservations and all area hotels fill up on this weekend. Please identify yourself as a Foray participant to receive a special discounted rate of $79 per night. 616-846-1000. Registration form + check must be received by April 26, 2008. Check payable to MBC-WPC. Mail to: Bobbi
Sabine Phone: (616-844-5092) Adults Registering (First and Last Name) Children Registering (First and Last Name) Ages #1_______________________________________ #4_________________________________ ____
#2_______________________________________ #5_________________________________ ____
#3_______________________________________ #6_________________________________ ____ Address _______________________________________________________________________ City __________________________________ State __________ Zip _____________________ Phone _________________________________ Email __________________________________ MBC Chapter membership ____ HVC ____ RCC ____ SEC ____ SWC ____ WPC ____ State ____Special___ I am a full scholarship sponsored student from the above chapter _________
Foray Fees Number Fees Subtotal Registration fee Adults _______x $25.00 $_______ (Registration fee waived for students and children under 16.) Meals Adult meals package for the entire weekend _______x $110.00 $_______ (Includes 3 breakfasts, 2 box lunches and 2 buffet dinners) Child (6-12) meals package for weekend _______x $55.00 $_______ (No charge for children 5 and under) TOTAL AMOUNT ENCLOSED (taxes and gratuities are included in fees) $_______ Names of persons requesting vegetarian lunches: _______________________________________________ Health and Safety Declaration which each person 18 and over must sign and date: “I assume all responsibility for my health and safety while on the MBC 2008 Spring Foray.” (Parents are responsible for children under 18.)
Signature (1) ___________________________________________________Date _______________
Signature (2) ___________________________________________________Date_______________
Signature (3) ___________________________________________________Date_______________
Field Trip Registration Preselecting you preferred field trips and workshops is part of foray registration. For each day of participation, please indicate each person’s 1st, 2nd and 3rd choices. Please number the columns to correspond with the participant’s number on the upper part of this form. Field trip assignments are first come, first served. Your personal field trip schedule will be waiting for you when you check in.
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