D17 Middle Level Winter Retreat 2020
D17 Winter Retreat Details:

The registration price for the retreat is $50.00 per student and $50.00 per advisor. Registration fee covers workshop fees, supplies, and Sunday Breakfast. The total cost of each room is $150.00. Advisors from different schools may share rooms (please indicate on the registration form). If you want to split the cost of an advisor room with another school, please call or email before the registration deadline.

The registration forms and payments are due on: December 13, 2019
Please make checks payable to:

TASC District 17
c/o Vicki Long:
43200 TX ST HWY 87 South
Orange, TX 77632

There will be no refunds or cancellations after December 13, 2019.

Saturday dinner and free time activities up to each individual school. Advisors will be responsible for planning dinner and activities for their own students. All participants are to return promptly for the 8:00 p.m. session. Roll will be called. If the school is not present the advisor will be notified. If the advisor is unable to be reached, we will contact your campus administrator.
Name of School *
Your answer
Advisor name *
Your answer
Advisor cell number *
Your answer
Primary Advisor's Email Address *
Your answer
Name Secondary Advisor *
If none type "None"
Your answer
Secondary Advisor's Cell Number *
If none type "None"
Your answer
Secondary Advisor's Email Address *
If none type "None"
Your answer
Winter Retreat Rooming List
Room #1 Advisor or Student *
Room #1 Male or Female *
Room #1 *
List the students in the room
Your answer
Room #2 Advisor or Student
Room #2 Male or Female
Room #2
List the students in the room
Your answer
Room #3 Advisor or Student
Room #3 Male or Female
Room #3
List the students in the room
Your answer
Room #4 Advisor or Student
Room #4 Male or Female
Room #4
List the students in the room
Your answer
Room #5 Advisor or Student
Room #5 Male or Female
Room #5
List the students in the room
Your answer
Payment
A Number of advisors attending? *
Your answer
B Number of students attending *
Your answer
C = A+B Total number is attendance *
Your answer
D = $50*C Registration Cost *
Your answer
E Number of Rooms *
Your answer
F Number of nights *
Your answer
G = $150*E*F Cost of Rooms *
Your answer
H = D+G Total Cost *
Your answer
Remember
No refunds or cancellations will be allowed after November 4, 2019.
Please make checks payable to TASC District 17. There will be no refunds or cancellations after this date.
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