Staff Alumni Reunion Registration

Staff Alumni Reunion Registration Form

Adults

First Name

Last Name

Maiden Name (if applicable)

Phone (207-555-1234)

Email (email@example.com)

Adults

First Name

Last Name

Maiden Name (if applicable)

Phone (207-555-1234)

Email (email@example.com)

Please select (+) to add additional adults.

Children

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Children

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Children

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Children

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Please select (+) to add additional children.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment and Alumni Weekend Cost

Payment for the Alumni Weekend will be paid at the time of arrival.

Full Weekend attendance with lodging and food at Kingsley Pines. Friday, August 22- Sunday, August 24. Each Adult: $100 Children: free

Saturday ONLY with NO Lodging on Site Each Adult: $25 Children: free

Lodging

Cabin Request(Required)

Option 1: We want a cabin with an attached private bathroom.

Option 2: We would prefer a cabin with an attached private bathroom, but if none are available, a cabin with a detached bathroom is acceptable.

Option 3: We want to stay in the Older Girls Circle and share a public bathroom.

Option 4: We will not be staying onsite.

Cabin Mate Request

Option 1: I do not want to share a cabin/ room with anyone outside of my family.

Option 2: I want to share a cabin with my friends!

Cabin Mates

Please coordinate with your friends, we will contact you before finalizing cabin placement.

One song or skit that we MUST do at Campfire is...

One activity that is essential for this weekend is...

Additional Comments

By entering my electronic signature below, I affirm that I have read and agree to the terms and conditions in this application.(Required)

Date(Required)

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Staff Alumni Reunion Registration