New York DeMolay Winterfest 1/31-2/2

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Use this form to register for Winterfest! 1/31/20-2/2/20 MUST BE COMPLETE BY 1/10/2020. Late registrations will not be able to be used. Please mail checks to:
"Dad" Eric Evarts
804 Red Oak Dr.
Niskayuna, NY 12309

A medical release will also need to be completed and sent along with photocopies of the participant's medical insurance. This form may be found: at https://drive.google.com/file/d/1N16Hre55rZUtUkGOjNbbF4EHFlz-Exli/view?usp=sharing

We are staying at the Home2Suite 524 Aviation Rd, Queensbury, NY 12804

First name of Registrant

Last Name of Registrant

DeMolay's Email *

Parent's Email (this will be the address the signed permission slip needs to go to) *

Phone *

Chapter/Assembly/Triangle *

Advisor Responsible for you? (If an adult just state yourself) *

Gender:

Age as of 1/31/2020 *

Please select what best describes the person? *

Active DeMolay (12-21)

Triangle Member

Rainbow Member

Parent

DeMolay Advisor

Youth Group Advisor

Guest

Ticket Package (Please note: If your chapter cannot fill the entire room NY DeMolay will put similarly aged young men with your chapter to fill the room) *

6 to a suite $99

4 to a suite $122

3 to a suite $143

2 to a suite $184

1 to a suite $308

Please contact me about a family package.

Saturday Only $70

Tee shirt size

XXL

Clear selection

Please list desired roommates (We cannot guarantee this) *

Please list any medications, and times need to be taken

Dietary restrictions and/or food allergies

Please list any medical issues we need to be aware of?

Does the DeMolay agree to abide by the rules and regulations of the event? 1. Possession or use of alcoholic beverages, firearms,controlled substances or any material deemed illegal by law is prohibited. 2. No attendee may leave the facility at any time during the event, except with written permission from the Executive Officer or his Personal Representative. event. 3. No vehicles may be moved after parked at the facility for the time we are at the event and use during the event is prohibited. 4. Curfew is at the time announced by the Executive Officer . or his Personal Representative. NO EXCEPTIONS! 5. Each individual will be liable for any damages they cause. 6. Any individual in violation of these rules will forfeit all fees paid and the violator will be removed from the event. *

Yes

Name of Emergency Contact *

Phone number (day) *

Phone number (night) *

Relationship: *

Medical Insurance Provider *

Policy Number *

Policy Holder's Name *

Submit

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