December Regionals Registration

Name: (**Include spouse if spouse is on staff)

Spouse Name**: (if not on staff and attending regionals)

Children Attending:
    Name: Age:
   Name: Age:
    Name: Age:
    Name: Age:

Will you require childcare?
Yes
No
Maybe. Explain:

Arriving late? Explain the reason and when you plan to arrive . . .

Special Dietary Needs: (we will do our best with these requests)

Vegetarian
Food Allergies/other:

NOTE: If you are flying to regionals-
1) You cannot ask an Eastern Washington staff member to pick you up
2) You will need to rent a car to get from the airport to Clearwater Lodge
3) You need to get permission from you supervisor that you have funds for airplane tickets and car rental. If you do not have the funds, you will have to pay out of pocket.

Questions or Comments about this website can be directed to Aubrie Stent

December Regionals Registration

Spouse Name**: (if not on staff and attending regionals)

Children Attending: Name: Age: Name: Age: Name: Age: Name: Age:

Will you require childcare? Yes No Maybe. Explain:

Children Attending:
Name: Age:
Name: Age:
Name: Age:
Name: Age:

Will you require childcare?
Yes
No
Maybe. Explain: