Sessions Registration Test

Today's date: *

First Name: *

Middle Name(s) or Initial(s):

Preferred Name:

Last Name: *

Birth date: *

Gender: *

Home Phone:

Cell/Mobile Phone:

E-mail Address:

Street Address or PO: *

City/Town/Village name: *

State/Province Name: *

ZIP or Postal Code:

Country Name: *

Local Meeting(s): *

If youth, Grade in Fall:

Young Adult Friend (18-35)?:

Tuesday workshop selection:

Wednesday workshop selection:

Accessibility Needs:

To enter more than one choice, press and hold pressed the CTRL key while clicking to highlight each choice with the mouse.

Additional Accessibility Information:

Volunteer Choice(s):

To enter more than one choice, press and hold pressed the CTRL key while clicking to highlight each choice with the mouse.

Special Housing Needs:

To enter more than one choice, press and hold pressed the CTRL key while clicking to highlight each choice with the mouse.

Additional Housing Needs Information:

Name(s) of roommate or ‘housed near’ preference(s)

Day of Arrival (e.g., Fri., Sun.): *

Day of Departure (e.g., Wed., Thu.): *

Room/Board/Fees Code: *

Room, Board, & Program Fees
Bring all bedding — pillow, blanket, sheets, towels. Also fan, lamp, mug, cloth napkin.
Did you know? Subsidy from the general NEYM budget helps us reduce costs to attenders. The actual cost to the Yearly Meeting for each full-time adult is $690.
(Limited # of campsites. Part-time commuters purchase meals at dining hall)

Total dollar figure for Rm./Brd./Fees Choice: * $

If Friday Evening Arrival ($75/adult, $40/child): +$

Add $50/full-time or $10/day part-time: +$

Equalization Fund Contribution: +$

(Helps others attend Sessions. This year we ask every household to give at least $2 to the Fund.)

Less Sessions Staff/Speakers Credit(s): -$

Equalization Support Requested: -$

Late Fee (after June 30th, add $10/pers., $20 max.): +$

Grand Total: * =$

Add and/or subtract above dollar amounts.

Amount of bank check enclosed or by credit card: * -$

(minimum $100 or, if less, total fees)

Balance due: =$

Register online or mail this form with check or credit card information
— $100 (or if less, your total fees) is the minimum, non-refundable deposit —
payable to “New England Yearly Meeting” mailed to:
Laurel Swan, NEYM Registrar, 29 Woods Road, Bloomfield, CT 06002
Do not mail after July 27: go to neym.org or email registrar@neym.org [1]