NYSCAA Home NYSCAA 46th Reunion
August 20-24, 2009
Portland, Oregon

Registration Form

“Ich bin ein Berliner” – JFK (know the translation???)

Please register as soon as you can so that we can figure out transportation on the major events!

If you have any questions, please call David Hackleman (OR 1969) at (541) 745-7121 or email the reunion organizers at .

Please fill out and submit the online registration form below. You can also mail your completed registration form to the address below, or fax your registration form to (866) 833-0875.

You can submit an online payment via PayPal, mail a check to the following address, or send a check from your online banking account to the following address made payable to the "NYSC Alumni Association."

NYSCAA Reunion 2009
PO Box 3387
Charleston, WV 25333-3387



Accomodations:
The Shilo Inn Suites, Portland Airport is our designated spot, however you are welcome to choose from these other Accommodations if you wish, all within easy walking distance of the Shilo are identified so on the map.

Farewell Banquet:
If you would like to invite your friends, family members, or significant other to join us just for Saturday evening's banquet, please choose the Banquet option under registration fees.

Meals:
The meals included in the registration fees are: the Welcome Reception/Snacks/Drinks all days of the event, Lunches for Friday, Saturday and Sunday and the Banquet Dinner on Saturday. Please let us know if you have any special dietary requirements in the comments section.

Room Sharing:
Each hotel room has one or two queen beds. If you are traveling as a single and would like to be set up with 1 or 3 roommates, register below as such, and fill in the roommate section with your preferences.

Financial Aid:
Please do not let a lack of funds stop you from attending this reunion! We hope to have financial aid available for those who need it. Please contact the organizers for information.
Please correct the following errors:
— Full Name is required.
— Camp Last Name (your last name when you first attended or worked at science camp) is required.
— Email address is required.
— Enter a valid email address.
— Affiliation is required.
— Delegate State (or Country) and Year are required.
— Enter the year(s) you participated on Staph.
— Address is required.
— City is required.
— Phone is required.
— Phone Type is required.
— Please check an option under Reunion Attendance.
— Please select an option(s) under Registration Fees.
— Please check an option under Payment Type.
— Please select an option under Lodging.
— Please select an option under Transportation Planning.
Contact Info
Full Name:
— Full Name is required.
Camp Last Name (or maiden name):
— Camp Last Name (your last name when you first attended or worked at science camp) is required.
Email:
— Email address is required.
— Enter a valid email address.
Affiliation:
— Affiliation is required.
Delegate State (or Country) & Year: (e.g., WV 1982)
— Delegate State (or Country) and Year are required.
Staph Year(s):
— Enter the year(s) you participated on Staph.
Address:
— Address is required.
City:
— City is required.
State:
Zip:
Country:
Phone:

— Phone is required.

— Phone Type is required.
Web Site:

Reunion Attendance
Yes, I will participate in Reunion 2009

I'll be arriving on (date, time, and flight info, if known):

I'll be departing on (date, time, and flight info, if known):


I'll be bringing the following guests (include ages for children):
No, I can't come but I've included a contribution for Reunion 2009 in the section below.
I've already registered and am adding other options, e.g., additional registrations (include guest names in the box above), bringing a guest to Saturday's banquet, contribution, dues, donations.
— Please check an option under Reunion Attendance.
Payment Type
I will be making an online payment via PayPal.
I will be making a check out to: "NYSC Alumni Association"
— Please check an option under Payment Type.
Seminar
Yes, I would like to present a seminar. Plan for 15 minutes plus questions.

Please enter your seminar title:
Registration Fees

* Full regisration includes: transportation from/to PDX to/from hotel, one all day pass for MAX, a portion (hopefully most) of the cost for transportation to Timberline and Multnomah Falls, hospitality room, snacks and drinks, lunch materials for duration and (banquet) dinner on August 22. It does not include dinners for Thursday, Friday, or Sunday as we’re going to be scattered a bit for those events.


— Please select an option(s) under Registration Fees.

* Adults X $100 = $

* Full-Time Students in High School, College or Grad School X $80 = $

* Children (ages 4 to 12) X $50 = $

Infants and young children under 4 (no meals) X $0 = $

Single Day — Adults (ages 13 and up) X $40 = $

Single Day — Children (ages 4 to 12) X $30 = $

Single Day — Infants and young children under 4 X $0 = $

Banquet only on Saturday X $30 = $
 
Name(s) of your dinner guests for Saturday's banquet:


        
Registration Fee Total:
— Please select an option(s) under Registration Fees.
$
Lodging
Please let us know if you will be staying with us at the Shilo Inn or will be lodging elsewhere:
I will be staying at the Shilo Inn Suites Hotel Portland Airport
I live or work in the Portland area and have a place to stay
I will be staying with family and/or friends
I will be staying elsewhere
Undecided
Not applicable (if not attending)
— Please select an option under Lodging.
Room Sharing
I'd like to be matched up with roommates.

Let us know your preferences on roommates, e.g., non-smoking female, the number of roommates you are looking for, and any roommates you already have confirmed.


Nights sharing with 1 roommate  ($50.07/night)
Nights sharing with 2 roommates ($38.38/night)
Nights sharing with 3 roommates ($32.54/night)
Nights sharing with 4 roommates ($29.01/night)

Note: Costs are estimates including 12.5% occupancy tax.
Transportation Planning
Please let us know what your current transportation plans are:
I will be driving
I will be flying into Portland, OR (PDX)
I will be traveling by AMTRAK
I will have a vehicle to help with transportation needs
I will not have a car (taking a taxi, airport shuttle, carpooling, etc.)
Undecided
Not applicable
I have seat(s) available for ride sharing
— Please select an option under Transportation Planning.
Contributions, Annual Dues, and Donations
Contribution if you would like to defray expenses and help students register for this reunion   $
Voluntary Annual NYSCAA dues of $35 ($10 for alumni from 2006-2009)   $
Donations to the NYSCAA (Note: fraction of any donation to be for Adler Endowment Fund)   $
Contributions, Dues, and Donations Total: $
Grand Total: $

Comments or Questions?