EARLY REGISTRATION - JULY 15, 2012 Price goes up $15 after July 15th

Step 1: Preliminary information     Step 2: REGISTER - Pay in full or in 4-Monthly payments     Step 3:Pay Securely on PayPal with a credit card, debit card or your PayPal account. STEP 1 - Please provide us with the following information Please DO NOT fill out this form unless you plan on attending this event. Thank you for your cooperation. Name: Address: City: State:    Zip:   Phone: E-mail: Sobriety/Recovery Date: Party: Please list who will be in your party so we can house you together. Dietary Restrictions: Do You have a problem with stairs? if yes please discribe Are you willing to volunteer? if yes please discribe                        Cancellation Policy: NO REFUNDS - Registrations are non-refundable however registrations are transferable; they may be sold or given away. Forfeitures will be placed in the scholarship fund.