The Subud California Connections Gathering, October 6-10, 2016

Registration Form – Connections Gathering, October 6-10, Badger, CA

Attendee Information – Complete the information below for each person in your group:

Name: ____________________________________________________ Age if under 18 yrs____________

Address: ______________________________________________________________________________

Phone__________________________   Email: ________________________________________________

Dietary preferences:   ___ non-gluten      ___ non-dairy        ___ vegetarian

Name: ____________________________________________________ Age if under 18 yrs____________

Address: ______________________________________________________________________________

Phone__________________________   Email: _______________________________________________

Dietary preferences:      ___ non-gluten    ___non-dairy      ___ vegetarian

Please attach an additional sheet for more attendees.

Lodging

Lodging at Seven Circles is $40 per person per night, in rooms that can accommodate up to 4 people in twin beds.  Please check the nights you wish to stay at Seven Circles (see section below re meal options):

___ Thursday        ___ Friday           ___Saturday         ___ Sunday

Lodging cost at $40 per person x the number of people in group:   $_______________

Name(s) of any roommates registering separately: __________________________________________

Please reserve other local accommodations such as Sequoia Resorts and Sequoia Family Cabin directly.

Meals

Most group meals are at Seven Circles. Attendees are invited to a potluck hosted by the San Joaquin Subud group on Saturday night, and a no-host dinner at a local restaurant on Sunday night. Meals not otherwise noted are on your own. If not staying at Seven Circles, you can still sign up for group meals. Children under 6 can eat with their parents at no cost.

___ I/we will have all group meals at $89 per person (OR)

___ I/we will take just the meals selected below, at the price per meal shown:

___ Fri dinner-$23      ___Sat brkfst -$11    ___Sat lunch-$11        ___Sat dinner- $0

___Sun brkfast-$11    ___Sun lunch-$11     ___Mon brkfst-$11     ___ Mon lunch- $11

Cost for selected meals at $ _______ x the number of people in group:  $_________

Total amount due for lodging and meals for all attendees in group:  $______________

Payment

Please pay by check for total cost, payable to Subud California. You may contact Hannah Kusterer with any questions at abalonegirl@comcast.net.  Please mail this form and payment by September 24th to: Hannah Kusterer, 6330 Sunnymere Ave., Oakland, CA 94605.      Thank you!