Registration for Spring Sessions
April 1–3, 2011, Oakwood Friends School, Poughkeepsie, NY
Registration deadline March 21, 2011
Please return one form for each household. The registration form may be mailed or filled out electronically and e-mailed to hathawar@newpaltz.edu

Name(s) _____________________________________________ 
Address______________________________________________ 
City_______________ State _________________ Zip __________ 
Home phone _________________ Work/Cell phone _____________ 
E-mail address __________________________________________ 
Meeting __________________________________ 
Hospitality
I/we would like to stay at Oakwood Friday night ________ Saturday night _______
	($10.00 per person per night – bring your own pillows, linens, blanket, and towels)
I/we would like home hospitality for: Friday night _______ Saturday night ______
Would like to room with _____________________________________
Am traveling with _____________________ and prefer to be housed nearby.
Can bring a sleeping bag if needed ______________________________
Will make my own arrangements _____________________________
Special needs:  Smoker ____ Stairs a problem ____ Allergies ____
Vegetarian _____ Other _________________________________

Registration and Meal Planning
# of people 	        Meal	Cost 	Amount enclosed
_________ 	Saturday Hot Breakfast	$5.00 	$ ____________
________ 		Children 3–11	$2.50	$ ____________
________ 	Saturday Lunch 	$7.00 	$ ____________
________ 		Children 3–11	$3.50	$ ____________
________ 	Saturday Dinner 	$ 10.00 	$ ____________
________ 		Children 3–11	$5.00	$ ____________
_________ 	Sunday Hot Breakfast	$5.00	$ ____________
________ 		Children 3–11	$2.50	$ ____________
________ 	Sunday Lunch 	$ 7.00 	$ ____________
________ 		Children 3–11	$3.50	$ ____________
Room charge if staying on Oakwood campus	$10/pp/night     $ ____________
NYYM registration fee: Adults $15, Children$5 until 3/21	$ ____________
	 $5 late fee per person after March 21  $ ___________
Contribution to NYYM Equalization Fund		$____________
Assistance requested from NYYM Equalization Fund	$____________
		                                         Total Enclosed $ ____________
Children and Youth
Child’s name _______________________________ Age___________
Child’s name _______________________________ Age___________
Child’s name _______________________________ Age___________

Childcare times needed:  Fri. evening ______Sat Morning ______Sat afternoon _____
Sat evening_______ Sunday_____________

Childcare will be arranged only if requested in advance
Parents will be responsible for any children not registered by March 21.

Transportation
Need to be met at Poughkeepsie train station (date ____ time ____)
Please return form by e-mail or mail no later than March 21, 2011 to:
Viola Hathaway, 141 Fulton Ave #112, Poughkeepsie NY 12603; hathawar@newpaltz.edu  Phone: 845-454-6431 
Please pay via PayPal or make out checks to NYYM and mail them with your registration form.