Test version of On-line Registration

Each person attending Annual Sessions needs a separate registration form, including children 3 and under
* designates a required field
Registrant Information
First Name*
Last Name*
Street Address
City
State
Select OH, MI, PA, or other
Zip
Phone*
E-mail* Enter the e-mail address you want a receipt sent to
Adult (over 18) or Child (0-18)* Adult Child false
Meeting or Worship Group
Select your LEYM meeting/worship group or select “other” at the end of the list
First time attending LEYM Annual Sessions (LEYM Friends only)
Interested in participating in worship sharing Click here to toggle on and off a description of worship sharing
LEYM Job
If working a pre-arranged job during Annual Sessions, select the job
Lodging
Rates
Children 18 & under free courtesy of LEYM
Per Night
Ramseyer $ 23.00 Air conditioned; pillows & blankets
Hirschy $ 18.00 No A/C, no pillows or blankets
Camping $ 10.00 Your equipment
Per Day
Commuting $ 5.00 Not staying overnight on campus
Per Stay
Linens (dorm rooms only) $ 10.00 2 sheets, 2 towels, soap, wash cloth
Where*
Dorm or other*
false
Linens
For dorms
With Whom?
I prefer to room alone
Please room me with:
Teen rooming with family with teens
How many rooms for family?
Mobility
Trouble with stairs
Trouble walking
Use wheelchair
When*
Thursday Friday Saturday
Sunday (commuters only)
Meals
Rates
Children under 3 are not charged for meals. LEYM will cover 2/3 of the cost of meals for those aged 3-18.
Breakfast Lunch Supper
8 and older (before discount) 6.25 8.70 9.95
3-7 (before discount) 4.65 6.45 7.35
Thursday Friday Saturday Sunday
Breakfast Breakfast Breakfast
Lunch Lunch Lunch Lunch
Supper Supper Supper
Charges
Registration Charges
Fees for adults (children 18 and under are free)
Registration through 7/9 $ 50.00
Late fee (after 7/9) $ 10.00
Registration (adult only; children free) $50.00
Late fee (after 7/9)
$0.00
Worker Registration Scholarship $0.00
Final Registration Fee $50.00
Lodging Charges
Lodging/Commuting charges $0.00
Linen charge
Worker lodging scholarship $0.00
Final lodging charges $0.00
Meal Charges
Meal charges – Adults $0.00
Meal charges – 8-18 $0.00 If not calculating, check that “Child” is selected and you have entered an age from 0-18
Meal charges – 3-7 $0.00
Worker meal scholarship $0.00
Discount for children (ages 3-18) – 2/3 off cost
Final meal charges $0.00
Total Charges
Total charges $50.00
Discount for first-time attender $0.00
Donation to help others attend
Amount due $50.00
Bring a check made out to “LEYM” and present it when you sign in for Annual Sessions