Step 1 of 4 25% I am registering as a(n):*IndividualCoupleFamily First Name*Last Name*Email* Spouse First Name*Spouse First Name Please list the age of your dependent(s) at the time of the conference. Dependent 1 NameAge2018-2019 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 2 NameAge2018-2019 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 3 NameAge2018-2019 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 4 NameAge2018-2019 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 5 NameAge2018-2019 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 6 NameAge2018-2019 Completed Grade (If Applicable)Kindergarten123456789101112College StudentI am unable to attend the entire conference and would like to register for a limited number of days. Yes We are unable to attend the entire conference and would like to register for a limited number of days. Yes Lodging OptionsPlease select one of the following housing options*Main Hotel Lodging (More than Six People), $TBD–Stacy will contact you regarding costsMain Hotel Lodging (Five to Six People) – $903Main Hotel Lodging (One to Four People) – $763Camping with Full Hookups – $315Camping with Electric – $245Camping with Tent Site Only – $175Please select one of the following housing options*Main Hotel Lodging (One to Four People) – $763Lone Tree Lodge (All rooms have two or three single beds, with a private bathroom) – $567Camping with Full Hookups – $315Camping with Electric – $245Camping with Tent Site Only – $175Please select one of the following housing options*Main Hotel Lodging (One to Four People) – $763Camping with Full Hookups – $315Camping with Electric – $245Camping with Tent Site Only – $175I will arrive at Green Lake on:*Saturday, June 27Sunday, June 28I will depart Green Lake on:*Monday, June 29Tuesday, June 30Wednesday, July 1Thursday, July 2Friday, July 3 Please select a housing option and place the number of nights you would like housing:Larger Hotel Room, up to 5 guests ($129/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsStandard hotel Room, 1-4 guests ($109/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsLone Tree Lodge, single beds with bathroom ($81/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsCamping, Full Hookup ($45/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsCamping, Electric Only ($34/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsCamping, Tent Sites ($25/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsFor College-Aged Dependents: I am interested in the option of having my college-aged student housed with other college students during the conference. (If this is possible, you will be contacted once registration closes.) I would prefer that my children NOT share a bed.YesNoN/AI plan on having a roommateYesNoRoomate's Name(s)I need handicap accessible housing.YesNoMeal PlansAdult Meal Plan (Age 12 and over) – $226.501 Adult2 Adults3 Adults4 Adults5 Adults6 Adults7 Adults8 AdultsChild Meal Plan (Age6-11) – $160.001 Child2 Children3 Children4 Children5 Children6 ChildrenYoung Child Meal Plan (Children 5 and under) – Free1 Young Child2 Young Children3 Young Children4 Young Children5 Young Children6 Young ChildrenTwo Adult Meal Plan:* Price: $453.00 Adult Meal Plan:* Price: $226.50 Once you submit your registration, the exact cost of your meals will be emailed to you. Unless you notify us otherwise, your meals will begin with dinner on the day of your arrival and end with breakfast on the day of your departure. For your reference, here are the meal costs: Breakfast: $9.50 Lunch: $11.50 Dinner: $13Dietary Allergies/Requests:Youth and Childcare OptionsSpecial Instructions: The youth program will be organized by Cadence. All 2014-2015 sixth – twelfth grade students are welcome to participate. The childcare program will be organized by Green Lake Conference Center staff and volunteers. All children nine months old through those who just completed sixth grade are welcome to particpate. If you have a child who is in the overlap (completed sixth grade year) between the two programs–please make the best choice for your family.Youth ProgramNoneOne youth participant – $50Two youth participants – $100Youth Program Participants–place their first name(s) here:Childcare ProgramNoneOne childcare participant – $60Two childcare participants – $90Three or more childcare participants – $120Childcare Participants–place their first name(s) here:Total Conference ExpenseConference Total $0.00 Conference T-Shirts Please mark the quantity of the t-shirts desiredPlease select the size of t-shirt desired (adult sizes)X-SmallSmallMediumLargeX-LargeXX-LargeXXX-LargeAdult Sizes0 – X-Small1 – X-Small2 – X-Small3 – X-Small4 – X-Small5 – X-Small6 – X-SmallYouth Sizes0 – X-Small1 – X-Small2 – X-Small3 – X-Small4 – X-Small5 – X-Small6 – X-SmallChildren Sizes0 – X-Small1 – X-Small2 – X-Small3 – X-Small4 – X-Small5 – X-Small6 – X-SmallAdult Sizes0 – Small1 – Small2 – Small3 – Small4 – Small5 – Small6 – Small0 – Small1 – Small2 – Small3 – Small4 – Small5 – Small6 – SmallAdult Sizes0 – Small1 – Small2 – Small3 – Small4 – Small5 – Small6 – SmallAdult Sizes0 – Medium1 – Medium2 – Medium3 – Medium4 – Medium5 – Medium6 – MediumAdult Sizes0 – Medium1 – Medium2 – Medium3 – Medium4 – Medium5 – Medium6 – Medium7 – Medium8 – MediumAdult Sizes0 – Medium1 – Medium2 – Medium3 – Medium4 – Medium5 – Medium6 – Medium7 – Medium8 – MediumAdult Sizes0 – Large1 – Large2 – Large3 – Large4 – Large5 – Large6 – LargeAdult Sizes0 – Large1 – Large2 – Large3 – Large4 – Large5 – Large6 – LargeAdult Sizes0 – Large1 – Large2 – Large3 – Large4 – Large5 – Large6 – LargeAdult Sizes0 – X-Large1 – X-Large2 – X-Large3 – X-Large4 – X-Large5 – X-Large6 – X-LargeAdult Sizes0 – X-Large1 – X-Large2 – X-Large3 – X-Large4 – X-Large5 – X-Large6 – X-LargeAdult Sizes0 – X-Large1 – X-Large2 – X-Large3 – X-Large4 – X-Large5 – X-Large6 – X-LargeAdult Sizes0 – XX-Large1 – XX-Large2 – XX-Large3 – XX-Large4 – XX-Large5 – XX-Large6 – XX-LargeAdult Sizes0 – XXX-Large1 – XXX-Large2 – XXX-Large3 – XXX-Large4 – XXX-Large5 – XXX-Large6 – XXX-Large Please select the sub-account you would like your payment taken from*001 Work Account004 Conference Reserve021 2015 Conference ReserveI will mail a check for payment (Installments are welcome)If needed, Cadence International will cover costsI agree that Cadence International has the rights to all images, video, and audio recordings taken of me or anyone from my household during the 2015 conference for any purpose the organization deems appropriate.*YesNoAny other questions or special instructions you want us to be aware of? This iframe contains the logic required to handle Ajax powered Gravity Forms.
