North Carolina Yearly Meeting (Conservative), Guilford College (Greensboro, NC), July 11–15, 2001

Name(s)___________________________________________________________________________________

____________________________________________________________________________________

*Please list additional names, ages, and any special needs of children on separate sheet or on the back of this form.

Address___________________________________________________________________________________

Home Phone__________________Work Phone____________________Email__________________________

Room information: Each room provides a bed, dresser and closet space per person and is air-conditioned. Each person will be provided with sheets, towel, and wash cloth and a pillow with pillowcase. Other items (blankets, reading lamps, fans, clocks, additional linens, toiletries, etc.) to be provided by attender.

Full-time attendance (Room and board for Wednesday supper through Sunday lunch)

@ $160 (double occupancy) X number of people ________ = __________

@ $200 (single occupancy) X number of people ________ = __________

(Children 2 and under no charge.)

-or-

Part-time attendance (Room and Board)

Check days of attendance: Thurs. _____ Fri.. _____ Sat.____ Sun. _____

Check nights staying in dorm: Wed. _____ Thurs. _____ Fri.. _____ Sat.____

@ $40 (double occupancy) X number of nights _______ X number of people ______ = ______

@ $50 (single occupancy) X number of nights ________ X number of people ______ = ______

(Children 2 and under no charge)

-or-

Day attenders (Day rate with meals paid at the door)

Check days of attendance: Wed. _____ Thurs. _____ Fri.. _____ Sat.____ Sun. _____

@ $8 X number of days ________ = __________

Per meal prices for those not on full meal plan will be paid in cash at the dining hall. Prices per meal are $3.75 for breakfast; $4.35 for lunch; $5.10 for dinner. Children ages 3-10 $3.75 any meal; children 2 and under no charge.

Total Fees Due: Special Needs:

Room and Board $__________ _____ Roommate preference _______________________

(or Day Rate)

_____ Need room on first floor

Registration Fee $__________

($10 individual or $20 family) _____ Accessibility ______________________________

Contribution $__________ _____ Diet restrictions ____________________________

(To offset expenses for those who need assistance)

_____ Child care needs (*Please list names, ages and any special

Total Payment $__________ needs of children on separate sheet or on the back of form.)

Please make checks payable to NCYM (C) and mail completed registration to YM Registration, c/o Ray Treadway, 1301 Alderman Drive, Greensboro, NC 27408.

See www.ncymc.org for any additional information.