* First name: | |
* Last name: | |
Attending with a spouse? | Yes No |
Spouse's first name: | |
Spouse's last name: | |
Number of children over age 14: | |
Number of children ages 5-14: | |
Number of children ages 2-4: | |
Number of children under 2: | |
* Email address: | |
Phone number: | |
Mailing address: | |
Apartment number: | |
City: | |
State: | |
Zip code: | |
Would you like to attend: | |
If single, would you like to request a private room? +$95+tax/night | Yes No |
Any additional nights at the hotel? +$155.00+tax/night | |
Select additional nights: | Wednesday Sunday |
Would you like to request a roll-away bed (+$25+tax/night)? ** | Yes No |
Would you like to request a crib (+$30 for basic program or +$45 for full program)? ** | Yes No |
Would you like to request a high chair (+$30 for basic program or +$40 for full program )? ** | Yes No |
Would you like to request connecting rooms (+25+tax/night)? ** | Yes No |
Questions, comments, or special requests: | |