Registration Form

PLEASE NOTE NEW ROOM & COTTAGE RATES

 

INCLUDE PAYMENT FOR FIRST NIGHT'S LODGING ONLY

(Second night's lodging is owed to the park).  Your money for the room is paid to the park as soon as we receive it. Rooms are assigned as you check in.  If you cannot attend, notify Richard V. so that we can reassign your room from the waiting list.  Please, do not offer your paid space to anyone.

           

            $113 LODGE ROOM (________) OR $133 SINGLE COTTAGE (________)

            $10 PER 3RD AND 4TH ADULT IN LODGE ROOM (________)

            $30 PER PERSON REGISTRATION (________)

            SCHOLARSHIP CONTRIBUTION (________)  HELP SPONSOR A NEWCOMER!

                        TOTAL ENCLOSED (________)

RESERVE NO LATER THAN SEPTEMBER 29TH TO ASSURE LODGING AT THE PARK.

 

NAME(S): ____________________________________________________________________________

ADDRESS (PERSON 1): _________________________________________________________________ E-MAIL ADDRESS_______________________________ PHONE (______)_______________________

 

ADDRESS (PERSON 2): _________________________________________________________________ E-MAIL ADDRESS_______________________________ PHONE (______)_______________________

 

ADDRESS (PERSON 3): _________________________________________________________________ E-MAIL ADDRESS_______________________________ PHONE (______)_______________________

 

ADDRESS (PERSON 4): _________________________________________________________________

E-MAIL ADDRESS_______________________________ PHONE (______)_______________________

Name(s) as they are to appear on badge(s) ________________________   __________________________

                      ___________________________________________________________________

Mail to:                                    

BAGDAD RETREAT                                          Make checks payable to Bagdad Retreat        

c/o Mary M.                                                Include your check with your registration.

10413 Monticello Forest Circle                           Payment must be for the FULL amount –

Louisville, KY  40299                                          One night’s lodging + $30 per registrant.

      Phone 502-741-8548

      Email maryclephas@gmail.com

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Detach and Mail to Register (Please register early. Space is Limited)

 

                       

Remember – November 1-2-3, 2019 – Be There.

Board of Trustees – Bagdad Retreat, Inc

 

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