Registration Form
Please enter your 10 digit phone number. This will be your account number. *
Your zip code. *
The email address where we can contact you. *
Name and Baha'i ID number of first adult attendee
Name and Baha'i ID of second adult attendee
Names and Baha'i ID numbers of all additional adults in your group.
Names and Baha'i ID numbers of all Youth attendees age 15 - 20. Unless you decline your youth will participate in a special program; they will sleep in a youth dormitory with chaperones.
COMMENTS ON HOUSING REQUIREMENTS
In case of emergengy, who do you want contacted? *
Emergency person contact number. *
My youth may participate in the special program and may sleep in the youth dormitory.
Names and Baha'i ID numbers of all junior youth in your group ages 11-14.Unless you decline your junior youth will participate in a special program; they will sleep in a junior youth dormitory with chaperones.
My junior youth may participate in the special program and may sleep in the junior youth dormitory.
Names and Baha'i ID numbers of all child attendees ages 0 -10.
How many vegetarians are ther in your group?
Are there disabled or elderly persons in your group?
If you answered yes, please list the names of persons who will need to stay in special rooms for the handicapped. There are two twin beds per room.
How many African Americans are in your group?
How many Asians are in your group?
How many Caucasians are in your group?
How many Hispanics are in your group?
How many multi-ethnic (mixed ethnicity) persons are in your group?
How many Native Americans are in your group?
How many Pacific Islanders are in your group?
How many Persians are in your group?
Are there persons under age 18 in your group? If yes please complete the Medical Release Form (see site map)
Are you sponsoring a youth or child? If so, complete the Sponsorship Agreement(see site map)

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