FOTSNY 2024 REGISTRATION

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Email*

example@example.com

How do you identify (pronouns)?

Sobriety Date

Date

Home Group

ROOMMATES: Shared rooms are double occupancy. If you know who you want to room with, please enter their name here. Your roommate should put your name on their form as well. If this field is left blank, the FOTSNY committee will assign an appropriate roommate for you.

ROOMMATE NAME:

If you do not have a roommate request, please indicate the preferred gender you would like to room with, if any.

Please indicate any dietary restrictions.

Please indicate any food allergies. (Be specific)

If you have a disability and may require accommodations in order to fully participate, please indicate here:

Are you interested in doing service at the Conference?

YESNO

Are you a current member of Al-Anon?

YESNO

REGISTRATION OPTIONS: *Please note rates are per person. Six delicious meals are included! Coffee/Tea available all day.

FOTS New York Standard SHARED Room Registration Product Image

FOTS New York Standard SHARED Room RegistrationRegistration includes: One bed in double room (one person) for two nights. Located across the hall from bedrooms are shared private bathrooms & shared detached private showers. There is a sink in the room. There is a communal kitchen in the lodge to keep snacks/refrigerated items. ALL MEALS, all Conference panels, speakers & activities are included.

$383.00 Quantity

FOTS New York Standard SINGLE ROOM Registration Product Image

FOTS New York Standard SINGLE ROOM RegistrationRegistration includes: Single room lodging (one person) for two nights. Located across the hall from bedrooms are shared private bathrooms & shared detached private showers. There is a sink in the room. There is a communal kitchen in the lodge to keep snacks/refrigerated items. ALL MEALS, all Conference panels, speakers & activities are included.

$509.00 Quantity

ScholarshipContribute a Standard Shared Room Registration.

$383.00 Quantity

ContributionsWe continue to aim to make the FOTSNY Conference an ongoing experience for years to come as well as make this retreat accessible and affordable to all. If you are able to help, please consider a contribution of $10 or more (click quantity to add to amount). No amount is too small and if you are not able to donate, please don't worry. We give when we can.

$10.00 Quantity

Processing FeeMake my contribution go further by adding toward the 3% processing fee

$12.00 Quantity

Enter coupon

Total

$0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Apply my contributions (if checked above) toward

Building a prudent reserve for future FOTSNY ConferencesScholarship FundSplit between both options

TOTAL

Additional contributions may be made through Zelle or PayPal to FOTSNewYork@gmail.com. Thank you for your generosity!

For more information on Stony Point Center, please visit https://stonypointcenter.org/

FELLOWSHIP OF THE SPIRIT NEW YORK