Springeck 2018 Registration - May 5th-6th
Directions:
1) Complete this registration form.
2) Pay the registration fee that you select below with Pay Pal (https://www.paypal.com).
***** Pay Pal instructions: Please send your payment to kimwhite624@gmail.com.
3) If you're bringing someone to dinner who is not participating in the event, please fill out a separate registration form for them. The last question contains an option for "Dinner ONLY."

Event location: Lakeland Regional High School 205 Conklintown Rd. Wanaque, NJ 07465
Hotel & Restaurant: Best Western Regency House Hotel 140 State Route 23, Pompton Plains, NJ 07444 https://www.bestwestern.com/en_US/book/hotel-rooms.31065.html?iata=00171880&ssob=BLBWI0004G&cid=BLBWI0004G:google:gmb:31065


All applicants will be asked to sign the HEMA Alliance and NJHFA insurance waivers on-site.

Email address *
Last Name: *
Your answer
First Name *
Your answer
HEMA School/Organization: *
Your answer
HEMA School/Organization Location (city, state): *
Your answer
We are going to have a session where clubs share drills that they find useful. Would you be willing to share a drill? If so, what do you call the drill and what does it cover? If you don't feel you have authority in your club to say either way (or are just unsure), simply write "N/A."
Your answer
Choose your registration option. *
The option you choose will determine the event fee. Event registration: 3 tiers. Tier #1: $35 through Dec. 31st, 2017 ONLY! Tier #2: $40 from 1/1/2018 - 4/5/2018. Tier #3: $50 from 4/6/18 - event date. Register early and save! Dinner at Best Western Regency House Hotel in Pompton Plains, NJ = $50/person. Dinner registration must be received by 4/21/18.
Safety - Springeck Safety Information Sheet - https://drive.google.com/open?id=0BxTD_PgtXc0cUzJuZzk5cG01SEk *
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