REGISTRATION FORM
NYYM REPRESENTATIVE MEETING

Albany Academy for Girls, Albany, N.Y.
March 31-April 1, 2001

Please return this form ASAP. Please send a separate registration for each person attending.

Name _____________________________________ Meeting _________________

Address _____________________________________________________________

City _______________________________ State _______________ Zip _________

Home phone ________________________ Work phone _______________________

E-mail address ________________________________________________________

Meal Reservations: (Enclose check payable to Northeastern Regional Meeting)
_______ Saturday lunch @ $8.50 $ __________
________ Children 4-12 @ $ 4.00 __________
_______ Saturday dinner @ $13.25 __________
________ Children 4-12 @ $ 6.00 __________
_______ Sunday Lunch (potluck)
_______ Voluntary registration @ $10.00 $ __________
Total enclosed $ __________
Hospitality:
I/we would like hospitality for:  Friday night _______    Saturday night _______ (check one or both)
I/we can bring sleeping bag(s) if needed _______
I/we plan to stay in an area motel _______
I/we plan to stay at Powell House _______

Special Needs (check all that apply)
Vegetarian ______    Smoker ______    Allergies ______    Stairs a problem ______    Other ___________________
Childcare Needs: Name _______________________________ Age __________
  Name _______________________________ Age __________

Transportation
Expect to arrive by automobile________________________________________
Please meet me, as follows:
Train arrival (Albany-Rensselaer station) ____________________________________
Bus arrival (Albany bus station)____________________________________________
Plane arrival (Albany Int'l Airport) _________________________________________

Please return form no later than March 16 to:
Anita Paul, 22 Bruce St., Scotia NY 12302