Springeck 2018 Registration - May 5th-6th
1) Complete this registration form.
2) Pay the registration fee that you select below with Pay Pal (
***** Pay Pal instructions: Please send your payment to
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
All applicants will be asked to sign the HEMA Alliance and NJHFA insurance waivers on-site.
HEMA School/Organization Location (city, state):
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."
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.
Tier #3: Springeck 2018 Event Registration ONLY (no dinner), register 4/6/18 - event date = $50
Tier #3: Springeck 2018 Event Registration + Dinner, register 4/6/18 - event date = $100
Dinner ONLY = $50 (use this option for adding extra dinner registrants by filling out another form for them)
NJHFA Member - Springeck 2018 Event Registration ONLY (no dinner) = $0
NJHFA Member - Springeck 2018 Event Registration + Dinner = $50
Safety - Springeck Safety Information Sheet -
Yes, I have clicked the above link and have read the safety information.
Send me a copy of my responses.
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