2025 FOTSNY CONFERENCE REGISTRATION FORM

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

Email

example@example.com

How do you identify (pronouns)?

For which program are you currently a member (select both if both apply)?

AA Sobriety Date

Date

AA Home Group

Al-Anon Anniversary Date

Date

Al-Anon 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. Check all that apply:

Please indicate any additional food allergies or the 'other' noted above. (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?

REGISTRATION OPTIONS: *RATES ARE ALL INCLUSIVE! Six delicious meals are included along with two nights of lodging and the conference itself (including all step panels, speakers, meetings, yoga and all other activities, use of hospitality and meditation rooms)! Coffee/Tea available all day. Please note rates are per person.

FOTS New York Standard SHARED Room Registration

Registration includes: One bed in double room for two nights. Located across the hall from bedrooms are shared private toilet rooms & shared detached private showers. Price Includes: All SIX meals, Lodging and Conference (including all step panels, speakers, meetings, yoga and all other activities, hospitality and meditation rooms).

$405.00 Quantity

FOTS New York Standard SINGLE Room Registration

Registration includes: Single room occupancy in double room for two nights. Located across the hall from bedrooms are shared private toilet rooms & shared detached private showers. Price Includes: All SIX meals, Lodging and Conference (including all step panels, speakers, meetings, yoga and all other activities, hospitality and meditation rooms).

$540.00 Quantity

FOTS New York SHARED Room with EN SUITE Bathroom

Registration includes: One bed in double room lodging with EN SUITE bathroom for two nights, Price Includes: All SIX meals, Lodging and Conference (including all step panels, speakers, meetings, yoga and all other activities, hospitality and meditation rooms). LIMITED QUANTITY.

$505.00 Quantity

FOTS New York SINGLE Room with EN SUITE Bathroom

Registration includes: Single room lodging with EN SUITE bathroom for two nights, Price Includes: All SIX meals, Lodging and Conference (including all step panels, speakers, meetings, yoga and all other activities, hospitality and meditation rooms). LIMITED QUANTITY.

$505.00 Quantity

Scholarship

Contribute a Standard Shared Room Registration.

$405.00 Quantity

Contributions

We 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 the amount in increments of $10). No amount is too small and if you are not able to contribute, please don't worry. We give when we can.

$10.00 Quantity

Processing Fee

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

$13.00 Quantity

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Apply my contributions (if checked above) toward

*All registrations are non-refundable. However, registrations may be offered as a gift to someone else in the event you can not attend, or the FOTSNY committee will offer it as a hardship scholarship.

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/

TOTAL

FELLOWSHIP OF THE SPIRIT NEW YORK