2022 WDVA Women Veterans Retreat Attendee Registration

Question Title

* 1. Please Provide the Following Contact Information

First & Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Email:

Question Title

* 3. Will you be bringing a guest with you?

Yes

Question Title

* 4. If yes, how many additional guests will be joining you (up to five additional guests may join you)? Information required for hospitality planning purposes.

Please provide the first & last names of each guest attending

Guest one

Guest two

Guest three

Guest four

Guest five

Question Title

* 5. Would you be interested in registering a child/children for Kids' Corner activities? Complimentary care maybe available for children ages 5-10.

Yes

Question Title

* 6. Will you be attending S'mores Around the Campfire Friday, June 3, 2022, 6:00 PM - 8:00 PM?

Yes

Rooms have been reserved at the Holiday Inn Express & Suites:

2703 Craig Road

Eau Claire WI

(715) 839 - 7852

To ensure that you receive the special conference rate, it is recommended that you contact the hotel directly or register online using the following link: Click here to reserve a room at Holiday Inn Express West I94 before May 3, 2022.

Be sure to specify that you are associated with the Wisconsin Department of Veteran Affairs Female Veteran Retreat.

2022 WDVA Women Veterans Retreat Attendee Registration

Question Title

* 1. Please Provide the Following Contact Information

Question Title

* 2. Email:

Question Title

* 3. Will you be bringing a guest with you?

Question Title

* 4. If yes, how many additional guests will be joining you (up to five additional guests may join you)? Information required for hospitality planning purposes.Please provide the first & last names of each guest attending

Question Title

* 5. Would you be interested in registering a child/children for Kids' Corner activities? Complimentary care maybe available for children ages 5-10.

Question Title

* 6. Will you be attending S'mores Around the Campfire Friday, June 3, 2022, 6:00 PM - 8:00 PM?

* 4. If yes, how many additional guests will be joining you (up to five additional guests may join you)? Information required for hospitality planning purposes.

Please provide the first & last names of each guest attending