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
PLEASE PRINT ONE PER PERSON
City _________________________________________ State ________ Zip ___________________
Phone (Mobile) _______________________________ (Home) _______________________________
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.