Registrant Name 1  

                Name 2

Address    E-Mail 
     
City    State          Zip 

Phone (home)       Phone (work)

Church     Location 

Children(s) full name (if attending)   Age at 7/08    Gr

                                                      Age at 7/08   Gr

                                                      Age at 7/08   Gr

                                                      Age at 7/08   Gr

Dietary Needs:

Diabetic     Lactose Intolerant   Gluten Free   Vegetarian    Low Fat   Other

       Names of those with special dietary needs

                         Food is served in the dining hall; staff has limited ability to prepare special diets.

There are NO PRIVATE ROOMS.  You will be assigned a roommate unless you sign up as a double.
To request a roommate, both registrants must sign up together.
Roommate Name

Tallac Center                                             Fee                                        After 6/1
     No. of  Adults                         x  $445.00          add $20.00
     No. of Youth, 10-17              x  $185.00            add $10.00
     No. of Children 3-9                x  $135.00          add $10.00
          (2 and under free)                                            
                                                              Total Fees $

We need a handicap accessible room 

If Tallac Center room not available, will stay in a cabin     YES       NO        Wait list for Tallac
             Note: The Number of lake-view rooms is limited.  Register early.

Cabins                                                          Fee                                    After 6/1
      No. of Adults                         x  $235.00          add $20.00
     No. of Youth, 10-17               x  $150.00           add $10.00
     No. of Children 3-9                x  $115.00          add $10.00

                                                               Total Fees $

Cabins: If not available, will stay in Tallac Center      YES      NO     Wait list for Cabin

Commuter                                                        Fee                                 After 6/1
      No. of Adults                            x $230.00             add $20.00 
      No. of Youth                            x $150.00             add $10.00
      No. of Children 3-9                  x $115.00             add $10.00
         (2 and under free)        
                                                                                Total Fees $

                                                       DEPOSIT INCLUDED WITH REGISTRATION   $

Each registrant must enclose a non-refundable deposit:  $120 per person, $30 for each child/youth

        We must receive a deposit check within 10 days of this registration to secure your space.  

Make checks payable to: Zephyr Point Presbyterian Conference Center

Checks are to be mailed to:

Zephyr Experience 2008
Zephyr Point Presbyterian Conference Center
P O Box 289
Zephyr Cove, NV   89448

All Registrations accepted on a first-come, first-serve basis by postmark (or receipt of e-mail registration form)
The remainder of your fee is due by June 1, 2008.
Cancellation Policy: all fees are non-refundable after June 1, 2008*

A limited number of partial scholarships are available for families.
Please inquire if you have need.
Donations to the Scholarship Fund are invited.

*Travel/Trip Cancellation Insurance is available for cancellations that take place after the final due date.  Since we cannot refund after June 1, 2008, with insurance you can still be covered if last minute illness or mishaps arise.  It needs to be purchased within 14 dates of deposit.  For details call Travel Guard 1-800-826-4919 or for web info: www.travelguard.com

Don't forget to fill out Adult and Children/Youth Course selections below.

"Submit Button" is at bottom of form, after course selections.

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SELECTIONS - ADULT COURSES

              First Person Name
First Period Class          First Choice      
                                     Second Choice 
Second Period Class      First Choice     
                                     Second Choice 

             Second Person Name
First Period Class          First Choice       
                                     Second Choice  
Second Period Class      First Choice      
                                     Second Choice  

Please note that all courses are on a first-come, first-serve basis.

CHILDREN/YOUTH PROGRAMS AGES 4 - 17 years

          Ages 15 - 17 may choose either Adult or Youth Program.

Name       Grade (Fall '08)      Age (as of 7/08)

Name       Grade (Fall '08)     Age (as of 7/08)

Name       Grade (Fall '08)     Age (as of 7/08)

Name       Grade (Fall '08)      Age (as of 7/08)

Special Needs:
Are there any special limitations or situations your child's teacher needs to know about in order to best support you and your family?

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We recommend you print out the completed form for your records before you submit it.

Remember we must receive a deposit check within 10 days of this registration to secure your space.