2020 Annual Retreat - Laughlin
Use this form to register for our 2020 Annual Retreat. This year it will be held at the Aquarius Resort Casino. You can pay in full or you can pay a deposit, and then balance before the cut off date.
First Name *
Your answer
Last Name *
Your answer
Nickname or Goes By - If different than first name
Your answer
Street Address *
Your answer
City *
Your answer
State *
Please use the 2 digit abbreviation.
Your answer
Zip Code
Your answer
Phone *
Please put in the following format xxx-xxx-xxxx
Your answer
Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Please format as xxx-xxx-xxxx
Your answer
Member *
Registration ends on Sunday, July 26, 2020. Retreat Registration Fee for members is $170. Non-members are welcome, with additional fee of $35.
Special Requests
Although we cannot guarantee special requests, we will do our best to accommodate you.
Your answer
Go to the Store *
Please go to the DQN Store and select the appropriate retreat registration there. Your registration is not complete until you have paid for it.
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