Registration Form

Please register as soon as you can. If you have already registered, you can use this page to add other options, e.g., additional registrations, guests for Saturday's reunion dinner, reunion financial aid contributions, dues, and donations.

If you have any questions:

Email the reunion organizers at reunion_no_spam_please_@i_mean_it.no_spam_whatsoever.alumni.nysc.org.

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 2012
PO Box 2811
Charleston, WV 25330-2811

Accomodations:
The Holiday Inn Nashville-Vanderbilt is our reunion hotel. Please see the Accommodations page for more information.

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

Meals:
The meals included in the registration fees are snacks and beverages, one breakfast during Saturday morning’s meeting, and Saturday's Reunion Dinner. Please let us know if you have any special dietary requirements in the comments section.

Room Sharing:
If you are traveling as a single and would like to be set up to share a double room, register below as such, and fill in the roommate section with your preferences.

Financial Aid:
We hope to be able to offer financial aid again this year. This will ultimately depend on funding availability. Please let us know if you need financial aid and we will do our best to accommodate you.

Please correct the following errors:

Contact Info

Full Name:

Camp Last Name
(or maiden name):

Email:

Affiliation:

Delegate State
(or Country) & Year:

(e.g., WV 1982)

Staph Year(s):

Address:

City:

State:

Zip:

Country:

Phone:

Web Site:

Reunion Attendance
	Yes, I will participate in Reunion 2012 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 2012 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 dinner, contribution, dues, donations.

Payment Type
	I will be making an online payment via PayPal.
	I will be making a check out to: "NYSC Alumni Association"

Seminar
	Yes, I would like to present a seminar. Plan for 15 minutes plus questions. Please enter your seminar title:

Registration Fees
* Full registration includes the welcome packet, snacks and beverages, access to a great parlor suite for NYSCAA gathering and socializing at the hotel, one breakfast at Saturday’s Alumni Association meeting and mini-seminar program, and the special Reunion Dinner on Saturday. ** Single-day registration for Saturday does not include the Reunion Dinner.

	* Adults	X	$75	=	$
	* Full-Time Students in High School, College or Grad School	X	$50	=	$
	* Children (ages 4 to 12)	X	$25	=	$
	Infants and young children under 4 (no meals)	X	$0	=	$
	** Single Day — Adults (ages 13+) Suggested donation of $20	X	$0	=	$
	** Single Day — Children (ages 4 to 12)	X	$0	=	$
	Single Day — Infants and young children under 4 (no meals)	X	$0	=	$
	Dinner only on Saturday (Banquet)	X	$40	=	$
	Name(s) of your guests for Saturday's Reunion Dinner:
Registration Fee Total:					$

Meal/Dinner Planning
If attending the Saturday night reunion dinner, please indicate how many in your party prefer the non-vegetarian versus the vegetarian option.
	Saturday Reunion Dinner — Non-vegetarian option
	Saturday Reunion Dinner — Vegetarian option
	Please list any food allergies or dietary restrictions for members of your party:

Lodging
Please let us know if you will be staying with us at the Holiday Inn Nashville-Vanderbilt or will be lodging elsewhere.
	I will be staying at the Holiday Inn Nashville-Vanderbilt and will make my own reservations via phone
	I live or work in the Nashville area and have a place to stay
	I will be staying with family and/or friends in the area
	I will be staying elsewhere at another hotel:
	Undecided
	Not applicable (if not attending)

Room Sharing
	I'd like to be matched up with roommates. Let us know your preferences on roommates, e.g., non-smoking female (not guaranteed).

Transportation Planning
Please let us know if you will be driving:
	I will be driving
	I will be renting a vehicle
	I will not have a car (taking a bus, train, taxi, airport shuttle, carpooling, etc.)
	Undecided
	Not applicable
	I have seat(s) available for ride sharing

Survey
How did you find out about the reunion?
	Checked the NYSCAA Web Site
	Saw a posting on Facebook
	Word of mouth
	Read about it in the alumni newsletter
	Other:

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 2009-2012)					$
Donation to the NYSCAA					$
Suggested donation to the NYSCAA for adult single-day registrations					$
Contributions, Dues, and Donations Total:					$
Grand Total:					$

Comments or Questions?