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Memorial Day Chicago Retreat - 2022 Registration Form
𝐑𝐞𝐭𝐫𝐞𝐚𝐭 𝐃𝐞𝐭𝐚𝐢𝐥𝐬:
Dates: May 28 (7 AM) to May 30 (1 pm), 2022 (Memorial day weekend)
Venue: 408 River Grove Ct., Vernon Hills 60061, IL
Contact us at +1 (817) 528-5027 or +1 (502) 407-4509
Email:
jyotsnatia@yahoo.com
Google Maps link to venue:
https://goo.gl/maps/tgbz5LYagnwm2AiJA
𝐑𝐞𝐠𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧 𝐅𝐞𝐞: $100 per person or $300 per family. You can pay online:
-Credit/Debit Card or PayPal:
https://www.paypal.com/donate?hosted_button_id=P5HFAHUQ7GHF8
-Zelle:
brajbanchary@aol.com
𝐍𝐞𝐚𝐫𝐞𝐬𝐭 𝐀𝐢𝐫𝐩𝐨𝐫𝐭: O'Hare International Airport (
https://goo.gl/maps/KU2E31eismdGtQPy6
)
𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐞𝐝 𝐇𝐨𝐭𝐞𝐥:
-Staybridge Suites Chicago - Lincolnshire, an IHG Hotel
100 Barclay Blvd, Lincolnshire, IL 60069:
https://goo.gl/maps/9c19GSSDp5wewoV96
𝐒𝐩𝐞𝐜𝐢𝐚𝐥 𝐫𝐞𝐭𝐫𝐞𝐚𝐭 𝐫𝐚𝐭𝐞: $109.00 (1 Queen Bed) and $128.00 (1 King Bed + Sofa Sleeper) + taxes (Use Group Booking code: SMJ)
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Full Name
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Your answer
Total number of people attending (including yourself)
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Choose
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2
3
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5
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8
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10+
Please list names of all family members/friends attending with you. (Enter N/A if attending by yourself)
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Your address
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Your Phone number
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Email
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What days will you attend? (If you do not plan to attend all three days, please mention which days you will attend: Day 1, Day 2, Day 3)
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All Three Days
Other:
Dietary restrictions
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I agree to follow the COVID mandates such as wearing a mask while indoors, frequently washing and sanitizing my hands, as required at the time of the retreat.
*
Yes
Required
I confirm that I and my family members (that are eligible for vaccination) are fully vaccinated against COVID 19
Yes
I understand that I will have to make my own stay arrangements.
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Yes
Required
I confirm that I have paid the registration fees.
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