2010 Camp NASRA Registration Form

56th NASRA Conference:
August 6 - 11, 2010
Seattle Westin
Seattle, Washington
Please Complete a Separate Form for Each Child Participating - Child must be registered as a child guest of a registered conference attendee to participate in Camp NASRA.
*indicates a required field
  

Submit Registration Form by
JULY 3 to:

NASRA
P.O. Box 14117, Baton Rouge, LA 70898
Telephone (225) 757-7452
Fax (270) 918-6177
Child's Name* (As it will appear on conference badge)
Parent’s System or Firm*
Mother's Name* Cell Phone*
 		Email*
Father's Name* Cell Phone*
 		Email*
Phone*
 		Age*
 		Grade*

T-shirt size*

      
YXS (2-4) YS (6-8) YM (10-12)
YL (14-16) YXL (18-20) Adult S
Adult M Adult L Adult XL
       

My child will participate on the following days:
Saturday: 11:00 to 3:00 (ages 5 to 15): Games, Activities, and lunch
Sunday: 10:00 to 2:00 (ages 5 to 15): Activities, Games, and lunch
Monday: 6:30 to 9:00 p.m. (ages 3 to 10): Activities and dinner
       
       

Allergies, Limitations, Special Instructions*
       

If you have any questions about registration, please contact Liz Antin, NASRA Executive Assistant, at:
(225) 757-7452 or liza@nasra.org.

Please Complete a Separate Form for Each Child Participating. Registration must be received by July 3 in order for adequate arrangements to be made for the enjoyment and safety of each child. If you must cancel your registration, please contact us as soon as possible. Child must be registered as a child guest of a registered conference attendee to participate in Camp NASRA but there are no additional fees for the camp.

Submit Registration Form BY JULY 3 to:

NASRA
P.O. Box 14117, Baton Rouge, LA 70898
Phone (225) 757-7452
Fax (270) 918-6177