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* 1. Name for Hotel Registration
**Must be Registered Adult/College Student

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* 3. Mobile Phone Number

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* 4. What NIGHTS do you need hotel room?
Estimated at $110.00 a night plus $45.00 pp registration

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* 5. How many in family will be eating with us?

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* 6. Thursday dinner - BBQ, (Bun available) Green Beans, Cole Slaw, Chips (Various flavors)

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* 7. Dietary Registrations

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* 8. If yes to Question 7

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* 9. Friday dinner - Pizza (Pizza is pre-orders 5 days in advance)

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* 10. If Yes to Question 9, select toppings

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* 11. Gluten Free Pizza (only)

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* 12. Any special request (if can be provided)

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* 13. Donation to assist with other families expenses (Indicate Name of family or anyone in need)

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* 14. T-Shirt Amount and Sizes ($15.00 per shirt)

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* 15. Sizes

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* 16. Sizes

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* 17. Sizes

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* 18. Sizes

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* 19. Sizes

 
 100% of survey complete.

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