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Attendee
Last Name
First Name
Children's Age
Gender
Relationship
1
Male
Female
2
Male
Female
3
Male
Female
4
Male
Female
5
Male
Female
6
Male
Female
Street & Number:
Church Affiliation:
City:
Phone:
State:
Zip:
Email:
Please make and mail the check payable to:
“22nd CSI Family & Youth Conference”
Mail to:
22nd CSI Family & Youth Conference
PO Box 2553 Danbury CT 06813-2553
Departure Info:
Airline:
Arrival Flight:
Airport:
JFK
LGA
Date:
Time:
Require ride to the Airport.
Room 1
4 Person Room $ 175/ person
3 Person Room $ 200/ person
2 Person Room $ 250/ person
1 Person Room $ 375/ person
Room 2
No Room
4 Person Room $ 175/ person
3 Person Room $ 200/ person
2 Person Room $ 250/ person
1 Person Room $ 375/ person
Room 3
No Room
4 Person Room $ 175/ person
3 Person Room $ 200/ person
2 Person Room $ 250/ person
1 Person Room $ 375/ person
Arrival Info:
Airline:
Arrival Flight #
Airport:
JFK
LGA
Date:
Time
Require pickup from Airport to hotel.
Special Requirements:
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