Registrant Name(s):
1)
__________________________
2)________________________
Address______________________________ Children/Youth
Name age at 7/08
City___________________________
State_________ 1)
______________________________
Zip____________________________
2)
______________________________
Phone_______________________________________ 3)
______________________________
E-mail
__________________________________
Church ___________________________
#
Adults
_______ x
$445.00
$_________
add $20
#
Youth 10 – 17
_______ x
$185.00 $_________ add $10
#
Children under 10 _______ x
$135.00
$_________
add $10
(2
and under free)
I need a handicap
accessible room _______
Total
fees:
$_________
If
Note: Number of
lake-view rooms is limited. Register
early.
Cabins:
Total Fee
After 6/1
# Adults
________
x $275.00
$__________
$295.00
# Child/Youth
3–17 ________ x
$120.00
$__________
$130.00
(2 and under
free)
Total fees:
$_________
Cabins: if not available
I will stay in Tallac Center YES
______ NO_______ Wait list
for
Cabin _____
Commuter
Fee:
Total Fee
After 6/1
# Adults
________
x $
230.00 $_________
$250.00
# Youth 10–17 ________
x $
150.00
$_________
$160.00
# Children 3-9 ________
x $115.00
$_________
$125.00
(2 and under
free)
Total fees:
$________
Deposit included: $_________________
*Each
registrant must enclose a non-refundable deposit:
$120
per person, $30 for each child/youth.
Make checks to:
All Registrations
accepted on a first-come, first-serve basis by postmark.
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
purchased
within 14 days of deposit.
To register send this form with
deposit to:
Zephyr
Experience 2008
P O Box 289
Zephyr Cove, NV 89448
Don't forget to fill out Adult and
Chrildren/Youth Course selections below
Selections -
Adult
Courses
1st
Person Name__________________________________
First Period Course
First
choice______________________________________________
Second choice
___________________________________________
Second
choice____________________________________________
First Period Course
First
choice _____________________________________________
Second choice
___________________________________________
Second
Period Course First choice
_________________________________________
Second
choice___________________________________________
Please note that all courses are on
a first-come, first-serve basis by postmark.
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: _______________________________________
Children/Youth
Program Ages 4 –17 years
Ages 15 –17 may choose
either Adult or Youth Program
Grade Fall ’08
Age as of 7/08
Name_________________________________
Grade_________ Age_______
Name_________________________________ Grade_________ Age_______
Name
________________________________ Grade_________ Age _______
Special Needs: Are there any
special limitations or situations your child’s teacher needs to know
about
____________________________________________________________________________________________
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