Copyright 2015, 2016 New York State of Line. All rights reserved.

ROOM CHOICE (Please check one choice on each line)   * List roommate(s) on back of form 

STANDARD ____           EXECUTIVE ____      

KING ____                      2 DOUBLE BEDS ____      

SINGLE ____           DOUBLE ____           TRIPLE ____           QUAD ____

OPTIONS:  ARRIVING THURSDAY ____      ONE NIGHT STAY (indicate FRI. or SAT.) ___________


Event Date: Nov. 9–12, 2017 


Name _______________________________________________________________________________ 

Address _____________________________________________________________________________ 

City _________________________________________    State ________     Zip ___________________  

Phone (Mobile) _______________________________     (Home) _______________________________

Email _______________________________________________________________________________ 

Signature ___________________________________________________   Date ___________________ 

Submission of this form by the party listed above signifies the following statement: I agree to hold the organizers of this event and their agents harmless from all suits, claims, or demands of every kind and character arising out of and in conjunction with this event. I hereby authorize the reproductions, sale, copyright, exhibition, broadcast, and/or distribution of any event videotape without limitations. I understand the physical risks of dance lessons and social dancing and assume full responsibility for any injury or personal damages resulting from the event named above. I certify that I am 18 years of age or older (applicable to Legal Guardian if under 18 years of age). _______ (Please initial) 

Note: Please Complete One Form Per Person

Complete this form & enclose payment. Registration package will be waiting upon your arrival. CONFIRMATION WILL BE EMAILED. FOR PRINTED CONFIRMATION, PLEASE INCLUDE SELF-ADDRESSED STAMPED ENVELOPE WITH EVENT FEES. 


Before March 15, 2017
Before July 15, 2017
Before Sept 15, 2017
Before Oct 30, 2017

Event fee includes:

All activities, workshops, evening dances, Step Book emailed, Instructors' Showcase Saturday Night 

Friday or Sunday Day Pass includes: 

All events for 1 day, plus open dance $55 (no meals included but meals can be purchased on site) 

Saturday Day Pass includes:  

All events for 1 day, including Sat show & open dancing $75 [Lunch ($25) & Dinner ($35) additional]

Evening Open Dance  Fri and Sat (Price is per night) $20 

Event Shirt 
*Pre-Orders Only!*  Your Choice of Black or Gray Tee with NYSOL logo.

$15 for sizes S, M, L, XL.     $18 for sizes XXL – XXXL   

   Style:   __Standard (Unisex) Tee      __Ladies Tee (scooped neck)      __Ladies 3/4 Sleeve

   Size:    __S       __M       __L       __XL       __XXL       __XXXL  

Paper Step Book 
*Pre-Orders Only!*      ____ $15   

TOTAL EVENT FEES enclosed ___________________ 

NO REFUNDS, however Partial Credit may be granted for a future event under certain circumstances determined by Event Director. 

Make Check or Money Order Payable to NYSOL.

Mail Registration to:


                              PO BOX 199

                              BAYVILLE  NJ  08721-0199 

This is an All-Inclusive Event. Your hotel fee includes accommodations for a one, two or three night stay, all meals, fees, taxes and use of all hotel facilities. 
​​Your hotel fee is due on day of arrival, payable to the Honors Haven Resort & Spa.  The event fee is a separate charge from the Hotel fee, payable to NYSOL.