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Seventy Missionary Family Reunion Registration Form (* Denotes a Required Field)
First Name*
Middle Initial
Last Name*
No.* Nights
No.* Meals
Swimming*
Sex*
Cell Phone (XXX) XXX-XXXX
Email
Priesthood
6 5 4 3 2 1 0
18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0
N Y
M F
None Deacon Teacher Priest Elder Seventy High Priest Patriarch
Street Address*
City*
State* (XX)
Zip Code* (XXXXX)
Home Phone* (XXX) XXX-XXXX
Congregation
Age*
Grade* Next Fall
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Nursery (Birth-2) Pre-School (3-5) Kindergarten 1st (Going in to) 2nd (Going in to) 3rd (Going in to) 4th (Going in to) 5th (Going in to) 6th (Going in to) 7th (Going in to) 8th (Going in to) 9th (Going in to) 10th (Going in to) 11th (Going in to) 12th (Going in to)
Enter special health concerns for anyone on the Registration, please indicate who.
Enter any special housing accommodation request:
Housing Request: On Campus Recreational Vehicle Off Campus Note, RV sites are assigned according to registration date. There are only eight full service sites. If On Campus, enter the number of rooms requested: 0 1 2 3 4 Rooms contain two twin beds, but will hold up to five people with mattresses on the floor. (Mattresses are provided by Graceland University.)
The housing “Units” are being replaced this year and will not be available. It is anticipated that air-conditioned rooms will be made available in Gunsolley Hall as well as in Walker. Please be mindful that the requests for air-conditioning often exceed the number of rooms available. Single persons in air-conditioned dorms will be assigned a roommate. If you need air conditioning, we must have your registration by June 1, 2011. The following explains the air-conditioning response options: R -> REQUIRED Due to Medical Condition P -> PREFERRED, but would give it up for someone with greater need N -> NO air-conditioning requested. Please select the air-conditioning response that describes you or your familly: R P N
Since this is a family reunion, we encourage participants to attend as families. Please feel free to bring as many guests and extended family members as you can reasonably expect to work with in a harmonious manor. All campers under age 18 must be sponsored by an adult and be housed in close proximity to their sponsor. Sponsors must be at least 21 years old and be willing to ensure that campers under their care are supervised at all times and participating in scheduled activities.
The fee for registration is $50 and is non-refundable. Please make your check payable to "Seventy Missionary Family Reunion," and write your Registration Confirmation Number on it. Checks may be sent to:
Cheryl Phipps Registrar, Seventy Missionary Family Reunion 15581 270th Street Lamoni, Iowa 50140.
Room assignments will be made AFTER your registration fee is received. Registration questions may be directed to Cheryl Phipps at (641) 784-6823 or registrar@restorationseventy.org.
Due to an increase in Graceland Housing fees ($11-12 per PERSON per night, as opposed to $20 per ROOM per night), costs for the 2011 Reunion are estimated to increase to about $200.00 per person.
To volunteer go to Volunteer and then Submit Volunteer Entry on this system.
Do you wish to make your housing information, address(es), phone number(s), and email address(es) available to other campers? Select Y for Yes or N for No: Y N
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