"REGAL SISTERS @HEART FUN-vention Registration Form:"

There needs to be one {1} form filled out for each person in the room.

Complete and return with payment:

General information: Arrival Date: _________ Depart: __________

Name________________________________________________________

Address______________________________________________________

City__________________________ State______ Zip Code________

Phone # { }________________Cell# { }__________________

E-mail_______________________________________________________

Red Hat Information:

Red/Pink Hat Name ___________________________________________

Queen's Name_____________________________ Chapter ID#________

Chapter Name________________________________________________

Red Hatter____ Pink Hatter____ Purple Hatter _____{if Sept. is your birthday month}

Emergency contact________________________ Phone#_____________

Rooming Information:

rates: 2 per room: $

3 per room: $

4 per room: $

add'l nights $ for room only no meals included.

Number of room mates: _____

Room Mates:

1}___________________________________________________________

2}___________________________________________________________

3}___________________________________________________________

Minimum Deposit $50.00 per person Non Refundable due with registration.

Deposit paid of$ ______ Date:___________

Please notify us by email of your flight information so we can have the free shuttle meet you at the airport.

Additional nights are available:

September "I Just Can’t Wait Fun Day" __________

September "But I Don’t Want To Go Home Day"_________

You can decided now or at a later date.{contact us for additional room rate}

Special needs:

Handicap room: ____

Allergies: __________________________________________________

_____________________________________________________________

Medical Conditions:____________________________________________

_____________________________________________________________

Dietary Needs:_________________________________________________

We will try to accommodate your special needs...

********************************

Please mark meal choice for the "Feather and Glitz Feast"

There can be NO changes after we receive your registration form.

We will not exclude any food items from menu or dining area. This would not be fair to others that might enjoy them.

Mail registration form and payments to:

Sharon Oglesbee (Queen Bee Sharona)