A.R.E. Pacific Nortwest Region's
41st Annual A.R.E. Summer Retreat at Seabeck, WA
Wednesday, July 4 - Sunday, July 8, 2007
All receive 15% Discount if Registered Before May 31
Canadians receive extra 10% discount
Person # 1
Name
_____________________________ M/F ____
Address_________________________________
City _________________________________ State/Province ______ Zip/PC ______________
Phone (Day) ___________________ (Evening) ______________________
Person # 2
Name
_____________________________ M/F ____
Address_________________________________
City _________________________________ State/Province ______ Zip/PC ______________
Phone (Day) ___________________ (Evening) ______________________
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Youth Names |
Age |
M/F |
Fall 2007 Grade |
House with youth Group (Y/N) |
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Families with more than two children may
subtract |
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Special meal? Number of people requesting Vegetarian
Meals:____ Vegan Meals:____
Please Circle housing requiest:
Spruce Inn Reeser Pines
Roommate Name: _________________________
# of beds: ____
Special Needs?
Wheelchair access: ____ No stairs: ____ Other (please state): ________________________________________
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Rates* |
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Participant |
Before |
After |
# of |
$ Total |
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Adults |
$309 |
$364 |
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Couples |
$602 |
$708 |
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Seniors/Students |
$294 |
$346 |
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Extra for lodging in Spruce per person (optional) |
$90 |
$90 |
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Extra for single room in Annex (optional) |
$55 |
$55 |
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Youth 13 - 18 |
$232 |
$274 |
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Youth 8 - 12 |
$187 |
$220 |
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Youth 6 - 7 |
$162 |
$190 |
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Children 3 - 5 |
$118 |
$139 |
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Children under 3 |
No Fee |
No Fee |
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Total Fees |
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Scholarship Donation |
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Total Due |
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Less $40 per child after the second |
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Less 10% Discount for Canadians if applicable |
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Less Deposit paid now (mimimum of $50 US per person) |
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Balance Due on or before July 5, 2006 |
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*Day Rates Available - Contact Registrar: Darsi Bucher for details
Payment by: Check___ Visa___ MasterCard___
Card Number______________________ Expiry Date: ___________ Amt. to charge ____________
Signature __________________________ Date ____________
Make checks payable to: A.R.E. Pacific Northwest Region and mail with the completed registration to:
Darsi Bucher
15213 Manion Way NE
Duvall, WA 98019
Registrar's Phone: (425) 681-0020
email: dbucher@arepnw.org
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