2024 Seminar Adult Attendee Information
Please submit this form one week after your pageant or by June 1st. Dairy Princess Training Seminar will be July 9-12th, 2024 at Roxbury Holiness Camp. 13763 Cumberland Hwy, Orrstown, PA 17244. There is a non-refundable $20.00 deposit.
County
Name
First Name
Last Name
Gender
Female
Male
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Princess(es) or Alternate(s) you are accompanying?
What relationship are you to the Princess or Alternate?
Parent
Committee Member
Grandparent
Other
Will you be staying overnight?
Yes
No
Are you a smoker?
Yes
No
Will you be commuting? If you plan to commute to seminar, the commuter fee is $150.00 and includes all meals, sessions, and materials.
Yes
No
Are there any Dietary needs/allergies/medical items we should know?
If Yes, please describe.
Will you be eating breakfast with the group each morning?
Yes
No
Are there any handicap restrictions?
If Yes, please Indicate.
Emergency Contact Name and Phone Number
Will you be using the Seminar Scholarship provided by PDPPS? (PDPPS provides each county with one complimentary adult scholarship to seminar. It is up to the county committee who receives this scholarship. Counties are welcome to send more than one adult; however the fee is $275.00 per additional reservation.
Yes
No
Payment:
Please send your $20.00 non-refundable deposit (or $275.00 seminar fee for additional registrations) to PDPPS, PO Box 177 Laurelton, PA 17835 by June 1st.
If you need to cancel your reservation, you MUST do so by 9:00am July 1, 2024 or you will be responsible for the cost ($255, pending you paid the deposit) of seminar. If you register and fail to attend seminar you also will be responsible for $275.00.
Just as Princesses/Alternates are roomed, you will be roomed with another parent/chaperone.
Any additional notes (attending for 1 day?, particular requests?):
Submit
Should be Empty: