Whitehead Light Station 2021 Program Registration
Whitehead Light Station ~ Penobscot Bay ~ St George Maine
I would like to register for: *
If you would like to register for more than one event please fill out form anadditional time.
First name *
Last Name *
Email *
Street Address
Town/City
State / Province/Country
Zip code
Mobile Phone
Home phone
I would like to stay in a *
I prefer to share a room with fellow participant or partner.
IF shared room, we would prefer:
Special Requests?
Gender
Clear selection
Do you have any health considerations, dietary restrictions, dislikes or allergies of which we should be aware:
Feel free to elaborate as much as possible with all dislikes, so we can chose a menu that all will enjoy.
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