Name
Address
City State Zip
Home Phone
Work Phone
e-mail
Birth date

Person to call in case of emergency:
Their phone number

Medical concerns the conference staff should know:

Transportation:
I need a ride.
I have room for riders.
I would like to use air, bus, or train and be picked up (please contact us before making your travel plans, we may be able to arrange transportation from Washington DC, BWI or others).
From where and when will you be leaving for the trip:
To where and when will you be returning from the trip:

Meals:
I am strictly vegetarian.
I must eat meat.
I like veggies and meat.
I have other dietary concerns:

Lodging:
If there's anyone with whom you'd prefer to share a house: Who?
If there's anyone with whom you'd prefer to exclusively share a room: Who?

Activities:
I will be going cross-country skiing.
I will be going down-hill skiing.
I will be lazing around in front of the fire.

HELP!!!!!!

Everyone will be asked to buy food and prepare a meal, and also clean up after a meal for everyone in their houses (8-10 people)
Meal you prefer to prepare:
Breakfast (nothing fancy)
Lunch (portable)
Dinner (remember vegetarians!)
Assist with Dinner (it slices, it dices...)

Meal you prefer to clean up:
Breakfast
Lunch
Dinner

Please tell us anything else about yourself and anything that would make this ski trip more enjoyable to you:

All participants must read and adhere to the following statement:

Attendees are asked to consider the range of ages and diversity of opinions and life-styles likely to be present at the ski trip in deciding whether to attend, what to bring, and how to conduct themselves. Our aim is to make the ski trip inclusive, be respectful to all persons, and to assure that everyone has a positive experience.

Check the box below to indicate that you have read the above and agree to participate in a manner that is respectful, appropriate and cooperative in effort to create a caring, sharing community, and that you understand that the trip management reserves the right to remove anyone from the trip at any time, for any reason they deem appropriate.

Day visitors are welcome and are free.
Registrar:

Andy Arnette
7803 Butterfield Lane
Annandale, VA 22003
Phone 703 560 3697 (home)

andrew.arnette@dsiddoms.eds.com

Please submit this form via e-mail to Andy by clicking below, or print a copy and mail it to him at the address above.
Please also send a payment: $90-$110 sliding scale by check, payable to GWA-UUYAN to Andy. You will receive a confirmation e-mail from Andy indicating you've registered. Please join the Winter Escape mailing list at http://mail.critmass.org/listinfo/cm-retreat. We'll be distributing information about the event on this list.

Retreat

[Registration]

Program

Directions