Registration for the Sierra Retreat at Lake Sequoia! Number of Attendees(Required)123456789101112Please indicate the total number of attendees you are registering for (including all adults and children).Attendee Name 1(Required) First Last Attendee Name 2(Required) First Last Attendee Name 3(Required) First Last Attendee Name 4(Required) First Last Attendee Name 5(Required) First Last Attendee Name 6(Required) First Last Attendee Name 7(Required) First Last Attendee Name 8(Required) First Last Attendee Name 9(Required) First Last Attendee Name 10(Required) First Last Attendee Name 11(Required) First Last Attendee Name 12(Required) First Last Special Instructions or RequestsPlease make note of any special instructions or requests for staff to be aware of.Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) PhoneAdult Attendees (Ages 12 and over) Quantity(Required) Price: $100.00 Quantity Enter total number of registrations for persons 13 years of age or older. Fee covers your cabin and meals – TWO NIGHTS LODGING/FIVE MEALS – Friday p.m. through Sunday a.m., including all retreat activities.Child Attendees (Ages 3-11) Quantity Price: $70.00 Quantity Enter total number of registrations for persons between the ages of 3 and 12 years of age. Fee covers your cabin and meals – TWO NIGHTS LODGING/FIVE MEALS – Friday p.m. through Sunday a.m., including all retreat activities.Student and YEP Member Attendees Quantity Price: $75.00 Quantity Enter total number of registrations for Student and YEP Members. Fee covers your cabin and meals – TWO NIGHTS LODGING/FIVE MEALS – Friday p.m. through Sunday a.m., including all retreat activities.Part-time Attendance Quantity Price: $50.00 Quantity Enter total number of registrations. Fee covers only meals during the day of attendance (breakfast, lunch and/or dinner), and no overnight accommodations or services.Speaker Registration Quantity Price: $0.00 Quantity Enter total number of registrations for persons speaking/presenting at the event. Fee covers your cabin and meals – TWO NIGHTS LODGING/FIVE MEALS – Friday p.m. through Sunday a.m., including all retreat activities.Family/Guests of Speaker Registration (Adult) Quantity Price: $50.00 Quantity Enter total number of adult family or guests (13 years of age or older) of persons speaking/presenting attending the event. Fee covers your cabin and meals – TWO NIGHTS LODGING/FIVE MEALS – Friday p.m. through Sunday a.m., including all retreat activities.Family/Guests of Speaker Registration (Child) Quantity Price: $35.00 Quantity Enter total number of children family or guests (under the age of 13) of persons speaking/presenting attending the event. Fee covers your cabin and meals – TWO NIGHTS LODGING/FIVE MEALS – Friday p.m. through Sunday a.m., including all retreat activities.Event Organizer Registration Quantity Price: $50.00 Quantity Enter total number of registrations for persons approved by the Board as an event organizer. Fee covers your cabin and meals – TWO NIGHTS LODGING/FIVE MEALS – Friday p.m. through Sunday a.m., including all retreat activities.Total Total registration feesCredit Card(Required)Enter your Credit Card Number, Expiration Date and CVC Number Cardholder Name