Children's Names and Ages
If Double Person Occupancy, I am sharing a room with...
Any dietary special needs?
Family (Add $435.00)
Couple (Add $350.00)
Single (Double Occupancy) (Add $175.00)
Deposit (Remainder to be paid by June 11) (Add $150.00)
I'd like to help sponsor someone else who might otherwise not be able to attend. (Please denote amount)
If you choose to only pay the deposit now, your remaining balance is due before June 11th. You can pay for it on the website through online giving. Designate your money as "Unplugged".
Your Email Address
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