QuakerSpring 2013 Registration
Welcome to the online registration form for QuakerSpring - to be held June 21-26, 2013 at Woolman Hill Quaker Center in Deerfield, MA.

If you have questions about completing and submitting this online form, please email the Registrar at quakerspring@gmail.com.

If you prefer to print and mail your registration, a version of this form is available for download as a Microsoft Word document at www.quakerspring.org. If you print and complete the form, please mail it to:

Deborah Haines
2794 Fort Scott Dr.
Arlington, VA 22202.

Please register by June 1st if possible. We look forward to being together.
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Registrant Information
First Name (First Adult Registrant) *
Last Name (First Adult Registrant) *
First Name (Second Adult Registrant)
(if applicable)
Last Name (Second Adult Registrant)
(if applicable)
Street Address *
City *
State *
Zip Code *
Home Phone
Mobile Phone While Traveling
Email Address
Monthly/ Local Meeting
(Note: You do not have to be a Friend (Quaker) to attend - all are welcome. If you attend a Friends meeting or church, please let us know that here)
Yearly Meeting or Association
Housing Preferences
If registering full time, please check the box for Full Gathering below
if registering part time, please select all days you plan to attend QuakerSpring
Please skip this question if you selected Full Gathering in the question above.
In terms of housing, I will: *
Please Select a Housing Option
My choice of Accommodations *
If you plan to stay with someone you know locally, please tell us their name in the "Other" field at the end of the list below.
Required
Children, Childcare and Youth Program
Children and Youth of all ages are welcome! But we do need advance notice. We will plan and resource our program based on the registrations that have been received by June 1st , and may not be able to add additional children after that, so please register early!

Please email us with questions and suggestions about how we can fully involve children and youth in the QuakerSpring gathering at quakerspring@gmail.com.
Name and Background of Child or Youth Registrants
Below, please tell us the names of any children or youth you plan to bring, and a little about them, including age, expectations, needs, and interests
Travel Plans
For support purposes, please tell us about your travel needs and intentions. In particular, if you hope to participate in ride sharing (either offering or receiving rides), make sure to complete this section fully.
I will be coming to QuakerSpring by: *
If you are hoping to be picked up from public transportation, please email us at quakerspring@gmail.com with your exact travel plans
If coming by car and able to offer a ride, I could carry the following additional number of people:
If you select a number here, you will be contacted to coordinate ride sharing
Clear selection
I will be coming to QuakerSpring from: (ride sharing only)
please enter city and state
I will be departing from QuakerSpring to: (ride sharing only)
please enter city and state
Any other important details about your travel plans or circumstances
Special Needs
If you have specific needs with which we can assist you, including mobility, accessibility, or health concerns, please email us at quakerspring@gmail.com with details and we will do all we can to be supportive.
Dietary Needs
Please let us know if you have special dietary needs & we will let the kitchen staff know, although you may need to bring food with you. There will be refrigerator and cooking space available for those with special dietary needs. There will be vegetarian options available at meals.
Hopes & Expectations
Expectations
Please describe any special hopes, expectations or interests for the gathering that you would like us to know about:
Fees and Expenses
We run this gathering on a free will offering / pay what you are able basis. The bottom of the suggested range is below what we actually must pay for room & board. If you are able, please give more to help cover additional costs including childcare, organizing expenses, and to help others with limited means (including Friends from abroad, young adults, retirees, and war tax resisters) to participate.

If you feel led to attend, please do not stay away for financial reasons.

The following are suggested contributions PER DAY, PER ADULT including meals:

Adults ages 36 & older: $30-60. Young Adults ages 18-35: $20-40. Children and youth ages 6-17: $10-25. Toddlers & infants under age 6 free.

You can pay your gathering fee - preferably using check or cash - when you arrive at Woolman Hill. It is also possible to pay using Paypal, Visa or Mastercard if that is easier for you.

Advance payment is not required. Please let us know ASAP, however, if your plans change.
Expected Contribution
The total amount I expect to contribute towards gathering expenses for me and my family (in US $$): *
Please use the description of costs and fees above to inform your expected contribution
Thanks for Completing the Form. Now just click SUBMIT, and your registration will be complete!
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