Family Synergy Reunion September 10, 2011 Registration Form

Each person or couple attending must a) Complete this registration form;  b) Fill out and include the Deer Park Nudist Resort a First Time Visitors Form  c) Read, agree to, sign, and include a copy of DP's Rules

Registrant No. 1: Name __________________________________________________________________________________ Name you want on name tag _______________________________________________________________ Address ________________________________________________________________________________ City, State, Zip __________________________________________________________________________ Telephone _____________________ Family Synergy Member? YES ___ NO ___ Former (yrs?) ________  Email _________________________________________________________________________________

Registrant No. 2: Name __________________________________________________________________________________ Name you want on name tag _______________________________________________________________ Address ________________________________________________________________________________ City, State, Zip __________________________________________________________________________ Telephone _____________________ Family Synergy Member? YES ___ NO ___ Former (yrs?) ________  Email _________________________________________________________________________________

 

Item	Price	Quan.	Total
FS Event fee, per person	$25
Deer Park gate fee, per person Saturday (required)	20
Sat. Lunch, per person (optional)	5
Sat. Dinner, per person (optional)	7
Room w/queen bed, sleeps up to 2, per night (optional)	50
RV space & hook up, bring your own RV, per night (optional)	17
Camping site, bring your own tent, per night (optional)	8
Sun. breakfast, per person (optional)	5
Total:

[_] OK to share my contact information with other attendees.

FULL PAYMENT OF TOTAL TO BE POSTMARKED NO LATER THAN AUGUST 1, 2011.
Make checks payable to:
Family Synergy
Print, fill out & mail this form (a), plus b AND c above and your check to:
Bonnie Prusa, FS Treasurer
8303 Walerga Rd., #189
Antelope, CA 95843