* First name:
* Last name:
Attending with a spouse?	Yes No
Spouse's first name:
Spouse's last name:
Number of children over age 16:
Number of children ages 3-16:
Number of children 2 and under:
* Email address:
Phone number:
Mailing address:
Apartment number:
City:
State:
Zip code:
Would you like to attend:
All prices are double-occupancy (at least two adults per room, unless you request a private room); children in room with parents.
Would you like to request a private room? +$95+tax/night	Yes No
Would you like to request a roll-away bed (+$25+tax/night)? **	Yes No
Would you like to request a high chair (+$50 for basic program or +$75 for full program )? **	Yes No
Would you like to request connecting rooms (+25+tax/night)? **	Yes No
Questions, comments, or special requests:

* required fields

** Rollaways, cribs, and highchairs are limited and are first-come-first-serve.

Please list the names and ages of your children so that we may direct them to the appropriate children's program: