Step one: Leadership Forum Registration

This information will be sent to reservations@silverbay.org

Participant Information:
*required

Your Name: *
Business/Organization:

Address: *
City:
State: *
Zip: *
Daytime Phone: *
Fax:
Email: *
Would you like to receive an invitation information on additional Leadership Forum events, and updates to the conference via email? Yes No
Preferred method of contact:	Phone Fax Email

Conference fee:

Regular Delegates
Register and Pay - $450

Students/Retirees/Unemployed Delegates
Register and Pay - $200

Non-Profit Organization Delegates
Register and Pay - $350

Registration fee includes admission to all seminars and speakers.
Spouses may attend sessions at no additional cost.

Step two: Select your accommodations

How many nights will you be staying?	Number of nights:
How many rooms are you requesting?	Number of rooms
Arrival Date:
Departure Date:
Wheelchair-accessible room	Yes No
Handicap-equipped	Yes No

Choose Accommodations:

	Trinity House ($147/night)		These private rooms with private bathrooms have a B & B feel to them and is the newest building on campus. Rooms accommodate a maximum of 3 people.

	The Inn ($128/night)		This historic centerpiece of campus has rocking chairs on a beautiful grand styled wrap-around-porch. Rooms on the first two floors have private baths and offer views of the lake or mountains. Some rooms can accommodate up to 5 people.

	Brookside Community House ($128/night)		A family-style building with a comfortable gathering area for everyone. Between two rooms is a shared bathroom. Most rooms accommodate 2-3 people.

	Other ($42- $90/night)		For less expensive camp-style or cottage accommodations, please call Silver Bay at 518-543-8833, ext 350.


Adults:	$75 (including Forum participant)
Youth (6 - 17):	$37.50
Children 5 and under:	Free

Number of Adults:

List all adult names w/ organization affiliation:	List children w/ ages:

Check-in time is 4:00 pm. Your first meal is lunch.
Check-out time is 11:00 am. Your last meal is lunch.

Cancellation policy:

No rate reduction can be made for late arrivals or early departures.
Within 30 days of arrival, forfeit of deposit
Within 60 days of arrival, 50% of deposit
Within 90 days of arrival, full refund of deposit

Step three: Bring Your Family

Bring your family for an unforgetable Silver Bay experience. Silver Bay offers a wide range of activities for all ages. While you participate in the Leadership Forum, the rest of your family can enjoy children's programs, the craft shop, kayaking, canoeing, the beaches, the fitness center, and much more. Complete details about all that Silver Bay offers are available at www.silverbay.org.

Please list name of participant and any additional guests who will be staying with you in your room (limited by room and bed size). All participants and guests will be charged a daily membership and meal fee which includes three meals daily and membership access to most Silver Bay programs and services.

All guests must purchase a Daily Membership and Meals package:

Your bill will also include a 5% gratuity. If you have any questions about accommodations, please call 518-543-883 ext 350.

Supervised Silver Camp (12 and under) and Teen Programs are offered every weekday for an additional charge of $11 per half day (6 weeks - 6th grade and Teen Programs) or $22 per full day (grades 1 - 6 only). Swim lessons are available for $16 weekly. Please indicate the names of the child(ren) you wish to register for Silver Camp, Teen Programs and swim lessons, and indicate the days they will attend.

You may also use this box for any additional comments.

Are you a first-timer at Leadership Forum? Yes No

How did you hear about Leadership Forum?

You will be sent a statement of your charges and payments once your registration has been received. You will be billed for the full conference registration fee and 50% of your accommodations. Your reservation will be confirmed when we receive your registration fee and lodging deposit.

Silver Bay YMCA of the Adirondacks
87 Silver Bay Road
Silver Bay, NY 12874

Phone (518) 543-8833
fax (518) 543-6537
www.silverbay.org/leadership