2023 SC Regional Gathering

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street and Apartment REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Please let us know if you are a guest or a member: REQUIRED Member Guest Please fill out this field.

Name of Adults attending REQUIRED Please fill out this field.

Children, name and age

Do you need babysitting? REQUIRED Yes No Please fill out this field.

What nights are you staying? REQUIRED Friday night only Saturday night only Both nights I won't be staying on site Please fill out this field.

Meals

Please mark the meals you will be eating REQUIRED Saturday Breakfast ($10/person) Saturday Lunch ($10/person) Saturday Dinner ($15/person) Sunday Breakfast ($10/person) Please fill out this field.
Meal cost total REQUIRED
An example would be All meals = $60 x 2 member = $120 for meals
Please fill out this field.

Do you need financial assistance? REQUIRED Yes I do. No I do not. Please fill out this field.

Do you have any special needs for food or housing?

OTHER NOTABLES

Cost breakout:
Housing is $40/night/person. If you eat all the meals the cost is $45/person (see above for breakdown on specific meals)
Example cost: 1 person with all meals cost is $125, 2 persons with all meals is $250.00 Family maximum is capped at $300.00

Registration payment can be made via check to BSCD South Central Region and mailed to Erin Sluss, 606 S. Taylor St., Pratt, KS 67124. Please pay by June 15th. We prefer not to collect registration at the event.