* First name:
* Last name:
Attending with a spouse?
Spouse's first name:
Spouse's last name:
Number of children over age 14:
Number of children ages 5-14:
Number of children ages 3-4:
Number of children 2 and under:
* Email address:
Would you like to attend:
Choice of accomodations: **
Any additional nights at the hotel?
Select additional nights:
Select a type of room for additional nights:
Would you like to request a roll-away bed (+$90)?
Would you like to request a high chair (+$45)?
Would you like to request in-room Wi-Fi (+$30)?
Questions, comments, or special requests:
* required fields
** based on availability; for a description of accommodation options, please see Embassy Suites Mandalay Beach website
Please list the names and ages of your children so that we may direct them to the appropriate children's program:
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