Leadership Forum Registration

This information will be sent to reservations@silverbay.org

Participant Information:

Your Name:
Address: Business/Organization:
Town/City:
State:
Zip:
Daytime Phone:
Fax:
Email:	Would you like to receive an invitation to join a Leadership Forum Google Group, reminders about additional Leadership Forum events, and updates to the conference via email? Yes No
Preferred method of contact:	Phone Fax Email

Select your participation fee:

$750 registered by March 31, 2008

$850 registered by May 15, 2008
$950 registered after May 15, 2008
$475 employees/representatives of a Non Profit Organization
$250 students
$250 retirees
(must be referred by Dick Pryor - email: rtptraining@comcast.net - or Frank Tetz - email: FFTetz@aol.com)

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 ($145/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 ($124/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 ($124/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- $88/night)	For less expensive camp-style or cottage accommodations, please call Silver Bay at 518-543-8833, ext 350.

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

For all accommodations there will be a 5% gratuity added to your bill. If you have any questions about accommodations, please call 518-543-8833, ext 350.

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: Tell us who is coming with you and select their additional program options.

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:

Adults:
Children (6 - 17):
Children 5 and under:

$70 (including Forum participant)
$35
Free

Number of Adults:

List all adult names and business/organization affiliation:

List children and ages:

Supervised Children's Programs (12 and under) and Teen Programs are offered every weekday for a small additional charge of $11 per half day (6 weeks - 6th grade and Teen Programs) or $22 per full day (grades 1 - 6 only). Please indicate the names of the child(ren) you wish to register for Children's Programs or Teen Programs 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 complete itemized statement of your charges and payments once your registration has been received. Your reservation will be confirmed when we receive your registration fee and lodging deposit (payable by charge or check).

Join our Google Group for Leadership Forum interaction and updates:

http://groups.google.com/group/leadershipforumatsilverbay

The purpose of this Group/list is to extend the Leadership Forum at Silver Bay experience, for interaction year-round. Through continued activity here, we can help each other find answers, grow and become/remain inspired.

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