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If you have any issues with the form, please let us know (john@keewaydin.org)!Your Information - Primary RegistrantName of Primary Registrant* First Last Email of Primary Registrant* Enter Email Confirm Email Phone of Primary Registrant*This is a:* Cell phone Home phone How long will your additional guests be at reunion?*Please tell us when your additional guest will join us for Alumni Family Reunion! (Note: Fee for children ages 9-17 shown below, Children ages eight and under stay for free) Entire Reunion (August 25, 26, & 27, 2022- $250/Adult, $150/Child) Two Nights (August 25 & 26, 2022- $200/Adult, $110/Child) Two Nights (August 26 & 27, 2022- $200/Adult, $110/Child) Single Night (Thursday, August 25, 2022- $110/Adult, $55/Child) Single Night (Friday, August 26, 2022- $110/Adult, $55/Child) Single Night (Saturday 27, 2022- $110/Adult, $55/Child) Additional Adults in Your PartyPlease indicate the number of adults that you would like to add to your previous registration, and then list their names below. How many adults would you like to add to your initial reservation?*Adults are ages 18 and up! 0 1 2 3 4 5 6 7 8 How many adults would you like to add to your initial reservation?*Adults are ages 18 and up! 0 1 2 3 4 5 6 7 8 How many adults would you like to add to your initial reservation?*Adults are ages 18 and up! 0 1 2 3 4 5 6 7 8 Additional Adult 1Please list the adults you are adding to your reservation. Additional Adult 2 Additional Adult 3 Additional Adult 4 Additional Adult 5 Additional Adult 6 Additional Adult 7 Additional children in your partyPlease indicate the number of children to you would like to add to your reservation, and then list their names and ages below. How many additional children ages 9 to 17 would you like to add to your reservation?* 0 1 2 3 4 5 6 7 8 How many additional children ages 9 to 17 would you like to add to your reservation?* 0 1 2 3 4 5 6 7 8 How many additional children ages 9 to 17 would you like to add to your reservation?* 0 1 2 3 4 5 6 7 8 How many additional children under the age of 9 would you like to add to your reservation?*Children under 8 stay for free! 0 1 2 3 4 5 6 7 8 Additional child 1Name, age Additional child 2Name, age Additional child 3Name, age Additional child 4Name, age Additional child 5Name, age Additional child 6Name, age Additional child 7Name, age Additional child 8Name, age Do any of these new additions to your reservation have any food allergies or dietary restrictions?*NoYESDo you have any children (under age 18) in your party whose parent / guardian will not be present?* Yes, I do. No, I do not. Dietary RestrictionsPlease indicate any food allergies or special dietary restrictions for the additional guests. Our kitchen team will do its best to accommodate individuals, but it is imperative they know in advance to have the appropriate food on-hand. Please select the number of people in your party for each of the following:Gluten FreeHow many of your additional guests are gluten free?012345678910Dairy FreeHow many of your additional guests are dairy free?012345678Egg freeHow many of your additional guests cannot eat eggs?012345678Shellfish FreeHow many of your additional guests cannot eat shellfish?012345678Nut FreeHow many of your additional guests cannot eat nuts?012345678VegetarianHow many of your additional guests are vegan?012345678VegetarianHow many of your additional guests are vegetarian?012345678OtherPlease list any other dietary restrictions, allergies, or other necessary details. Emergency ContactPlease provide information for a contact in the event of an emergency. This person must not be a member of your party at the Alumni Family Reunion. Emergency Contact's Name* First Last Relationship* Emergency Contact's Phone Number*Vaccination DocumentationFilePlease upload a proof of vaccination for every member of your party over the age of 16. Drop files here or Select files Max. file size: 50 MB. Payment InformationHiddenPay deposit or pay in full?*You can either pay a 20% deposit or pay in full. Should you choose to pay a deposit now we will charge you for the remaining 80% at reunion. Pay in FullPay Deposit<span class="gform-field-label gfield_label_product">Deposit Amount</span> <span class="screen-reader-text">Quantity</span> $0.00 Total Due TodayIf you need to cancel, please do so before August 19 for a full refund. $0.00 Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name Privacy Policy* I have read and agree to the Keewaydin Privacy Policy Risk agreement Policy*By signing this agreement, I acknowledge and assume risks inherent in Keewaydin Foundation’s (“Keewaydin’s”) programs and facilities and I am further releasing Keewaydin and other associated persons from liability arising out of my participation or any other members of my family registered in such programs, as well as waiving my legal right to assert any claim and/or sue Keewaydin in recovery of damages suffered therefrom. 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