DERT Fee Form

Required

Fee

Date Due

Notes

DERTy Bootcamp

If attending

$25

10/22/2015

other paperwork/form required

Team Fee

$50

10/22/2015

If joining after 10/22, due asap

DERTy Diner Fee

$200

1/7/2016

Refunded after providing a meal

2nd (travel) Regional Fee

If attending

$100

1/16/2016

Central Illinois Regional Fee  

If attending

$25

3/1/2016

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Central Illinois Regional Fee - $25 - Due 3/1/2016

Student Name________________________________________________________

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2nd (travel) Regional Fee - $100 - Due 1/16/2106

Student Name________________________________________________________

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DERTy Diner Fee - $200 - Due 1/7/2016

Student Name________________________________________________________

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DERTy Bootcamp - $25 - Due 10/22/2105

        There is a waiver and form here: www.dert2040.com/fall-retreat-resources.html

that needs to be signed/filled out / turned in

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Team Fee - $50 - Due 10/22/2105

Student Name________________________________________________________