Registration Form

The registration deadline is Thursday, July 21, 2016. If you have already registered, you can use the Online Payment page to add other options, e.g., additional registrations, guests for Saturday's reunion dinner, reunion financial aid contributions, dues, and donations.

If you have any questions, contact the the reunion organizers at reunion2016_no_spam_please_@i_mean_it.no_spam_whatsoever.nyscaa.org.

Step 1: Fill out and submit the online registration form below.
Step 2: Submit an online payment, or send a check payable to “NYSCAA” and mail it by July 21, 2016 to:
NYSCAA Reunion 2016, PO Box 2811, Charleston, WV 25330-2811

Note: Registration is now over.

Please correct the following errors:

Contact Info

Full Name:

Camp Last Name
(or maiden name):

Affiliation:

Delegate State
(or Country) & Year:

Staph Year(s):

Address:

City:

State:

Zip:

Country:

Phone:

Email:

Social Media
(Facebook, Twitter,
LinkedIn, etc.):

Reunion Attendance
	Yes, I will participate in Reunion 2016 I'll be arriving on (date, time, and flight info, if known): I'll be departing on (date, time, and flight info, if known): I'll be bringing the following guests (include ages for children):
	No, I can't come but I've included a contribution for Reunion 2016 in the section below.
	I've already registered and am adding other options, e.g., additional registrations (include guest names in the box above), bringing a guest to Saturday's dinner, contribution, dues, donations.

Registration Fees
Registration fees cover the cost of snacks and beverages for the hospitality suite, including light breakfast food on Friday to Sunday. Registration fees do not cover activities, lunches, dinners (except as specified) or transportation. * Full registration includes the Reunion Dinner on Saturday for ages 3 and up. ** Single-day registration for Saturday does not include the Reunion Dinner.

	* Full Registration — Adults	X	$85	=	$
	* Full Registration — Children (ages 3 to 18)	X	$60	=	$
	Full Registration — Infants and young children under 3 (no meals)	X	$0	=	$
	** Single-Day Registration — Adults	X	$15	=	$
	** Single-Day Registration — Children (ages 3 to 18)	X	$5	=	$
	Single-Day Registration — Infants and young children under 3 (no meals)	X	$0	=	$
	Reunion Dinner Only on Saturday	X	$50	=	$
Registration Fee Total:					$
Contributions, Annual Dues, and Donations
Financial aid contribution if you would like to help defray expenses for students registering for this reunion					$
Voluntary Annual NYSCAA dues of $35 ($10 for alumni from 2013-2016)					$
Donation to the NYSCAA					$
Contributions, Dues, and Donations Total:					$
Payment Info
Grand Total:					$
I will be making an online payment via PayPal.
I will be making a check out to: “NYSCAA”

Meal/Dinner Planning
If attending the Saturday night reunion dinner, please indicate how many in your party prefer the non-vegetarian versus the vegetarian option.
	Saturday Reunion Dinner — Non-vegetarian option
	Saturday Reunion Dinner — Vegetarian option
	Please list any food allergies or dietary restrictions for members of your party:

Lodging
Please let us know if you will be staying with us at the Hilton Milwaukee City Center or will be lodging elsewhere.
	I will be staying at the Hilton Milwaukee City Center and will make my own reservations via phone
	I live or work in the Milwaukee area and have a place to stay
	I will be staying with family and/or friends in the area
	I will be staying elsewhere at another hotel:
	Undecided
	Not applicable (if not attending)

Room Sharing
	I'd like to be matched up with roommates. Let us know your preferences on roommates, e.g., non-smoking female (not guaranteed).

Transportation Planning
Please let us know if you will be driving:
	I will be driving
	I will be renting a vehicle
	I will not have a car (taking a bus, train, taxi, airport shuttle, carpooling, etc.)
	Undecided
	Not applicable
	I have seat(s) available for ride sharing

Seminar
	Yes, I would like to present a seminar. Plan for 15 minutes plus questions. Please enter your seminar title:

Survey
How did you find out about the reunion?
	NYSCAA Web Site
	Social Media (e.g, Facebook, Twitter, LinkedIn)
	Newsletter
	Postcard
	Word of mouth
	Other:

Feedback
Comments or Questions?

Note: “Staph” is the traditional spelling for the National Youth Science Camp staff to highlight their infectious enthusiasm!