DD Mid-Year Meeting Registration Form

Please select which events you'd like to attend:

qty:	Friday Dinner and DD Training Session	Fri 6:30 PM	$19.00
qty:	Saturday Luncheon (Men and Ladies)	Sat 11:45 AM	$51.00
qty:	Saturday Banquet (Men and Ladies)	Sat 6:30 PM	$60.00
qty:	Child Care (during banquet)	Sat 6:15 PM	$0.00
qty:	Sunday Ladies Breakfast	Sun 8:00 AM	$47.00

Bold labels indicate required fields

Contact Information

Prefix

First Name

Middle Name

Last Name

Suffix

Title

Phone

Address

City

Zip

Council Number

Transportation

Arrival Date

Arrival Time

Departure Date

Departure Time

Is your spouse attending?

Smoking?

Room Type

Special Requests