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2018 Retreat Registration Form

CONFERENCE REGISTRATION FORM MUST BE FILLED OUT

Please let us know the names of each adult and child/children attending this year’s retreat.  If paying by check be sure and print out your information and mail it along with your check payable to “AVRF 2018 Kids Retreat.” 

2018 Retreat Registration

AVRF Retreat: Attendee Details

Family Name(*)
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Address
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City
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State
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Phone(*)
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Email
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Adults & children 13 years and over: $295.00 each

Adult Attendees
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Adult 1 Meal Preference
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Adult 2 Meal Preference
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Adult 3 Meal Preference
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Adult 4 Meal Preference
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All children 12 years and younger: $245.00 each

Child Attendees
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Child #1
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Age
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Meal Preference
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Child #2
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Age
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Meal Preference
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Child #3
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Age
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Meal Preference
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Child #4
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Age
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Meal Preference
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Payment Detail

Total
0.00 USD

Choose a Payment

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To Mail Registration:
If you will be paying by check or money order, please print this form and send it along with your check or money order payable to: AVRF 2018 RETREAT
MAIL TO:
AVRF
PO Box 7540
Clearwater, FL 33758

For any questions you need answered feel free to contact us at: Vitiligo@avrf.org

Registration is NOT refundable on or after May 1st, 2018 AVRF has confirmed all functions to the best of our ability. Please note, we are not responsible for possible program changes beyond our control.
THANK YOU!