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43rd Annual Regional Retreat
» 43rd Annual Regional Retreat
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Register
(active tab)
Select Registration Type
N/A
Individual
Family
First Name
*
Last Name
*
Age
*
- Select a value -
0-6
7-13
14-18
19-40
41-Above
SSE Group
*
- Select a value -
Group1
Group2
Group3
Group4
Gender
*
- Select a value -
Male
Female
Sai Center
*
- Select a value -
Albany_NY
Amherst_MA
Boston_MA
Buffalo_NY
Burlington_VT
Chelmsford_MA
Cumberland_RI
Farmington_CT
Glastonbury_CT
Ithaca_NY
Newtown_CT
North Haven_CT
Northborough_MA
Norwalk_CT
Norwood_MA
Rochester_NY
Scarborough_ME
Scarsdale_NY
Shelton_CT
South Eastern_CT
Stamford_CT
Syracuse_NY
Wappingers Falls_NY
Others
Address
*
City
*
State
*
Zip
*
Email
The email to associate with this registration.
Phone
*
Arrival Date
*
- Select a value -
05/25 Friday
05/26 Saturday
05/27 Sunday
Arrival Time
*
- Select a value -
Friday Noon
Friday 4PM
Friday 6PM
Friday 9PM
Friday Late Night
Departure Date
*
- Select a value -
05/26 Saturday
05/27 Sunday
Departure Time
*
- Select a value -
Saturday Night
Sunday Noon
Sunday Evening
Accommodation
*
- Select a value -
Not Needed
Meal+ Accommodation
Hotel stay(food Only)
Days
*
- Select a value -
Sat and Sun
Sat only
Special Needs
*
- Select a value -
Not Needed
Elderly
Health Issues
Infant
Notes
Add Family Member(Excluding primary member)
First Name
Last Name
Age
Gender
Email
SSE Group
Remove
First Name
Last Name
Age
- None -
0-6
7-13
14-18
19-40
41-Above
Gender
- None -
Male
Female
Email
SSE Group
- None -
Group1
Group2
Group3
Group4
Total Amount ($)
Please write cheque to "SSSO of Northeast Inc" Po #262, Shrewsbury MA 01545
TotalHidden
MemberCount
Meal_7-13_SatSun
Meal_7-13_Sat
Meal_All_SatSun
Meal_All_Sat
Hotel_All_SatSun
Hotel_sat
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