State Director's Conference 2022 - Family/Friend Participant
Howdy! We are so glad you will join us for some of the conference! By signing up for the Family/Friend Participant we would love to have you attend the Opening Dinner, National Memorial Visit, and the Cattleman's Steak House Event! If you want to be a full conference participant, please complete this link instead: https://form.jotform.com/YMCAOKC/StateDirector2022
Name
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First Name
Last Name
Who are you coming to Oklahoma with?
*
State
*
YMCA Branch or Association
*
Participant Email
*
example@example.com
Participant Cell Phone
*
-
Area Code
Cell Phone
Emergancy Contact information
Emergency Contact Name
*
First Name
Last Name
Relationship
Emergency Contact Phone
*
-
Area Code
Phone Number
Food Allergies or Restrictions
*
Covid-19 Vaccine Status
Yes, I have been Vaccinated.
No, I have not been Vaccinated.
I do not wish to disclose that information at this time.
*Without vaccination, we may require a PCR Covid-19 test prior to arrival.
Any Medical Conditions we should be aware of?
*
Family/Friend Payment is $180
*
Pay by Check
Pay by PayPal below
Pay at a later date
Family/Friend fee must be paid by April 1st for the $180 rate.
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Family/Friend Participant
$
180.00
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Add-On! White Water Rafting - Monday, May 11th at 2:00pm
$
50.00
Total
$
0.00
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