Register

Full Name*

Email*

Enter email again *

Mobile Number*

2nd Phone number

Address:

Address Line 1

Address Line 2

City

State or Region

Country

Zip

Emergency Contact Name & Phone Number

The attendee list is the tool to contact other participants to arrange carpools. Please indicate if you would like to have your contact information included on the attendee list*

Yes: Include my information on the listNo: Do Not Include my information on the list

If you have a car and are willing, How many people can you take to sessions?

I understand that I must attend all three sessions*

I accept and understand I must attend all three sessions

If your registration is received after all slots are filled, are you willing to be on the extra-board?

YesNo

Will you attend the banquet on Saturday. The cost will be $40 per person paid to David Doiron in advance. We will be unable to accommodate payment at the dinner

Yes: Single - $40 for 1 EntreeYes: Couple - $80 for 2 EntreesNot Attending

Guest 1: Please select entree choice

ChickenShort RibSalmonNot Attending

Guest 2: Please select entree choice

ChickenShort RibSalmonNot Attending

1st Railroad choice (Use layout owner's name please)

2nd Railroad choice (Use layout owner's name please)

3rd Railroad choice (Use layout owner's name please)

4th Railroad choice (Use layout owner's name please)

5th Railroad choice (Use layout owner's name please)

6th Railroad choice (Use layout owner's name please)

7th Railroad choice (Use layout owner's name please)

Any additional comments or requests?

Create a personal password for this Registration*

Password must be at least 7 characters long.

Confirm Password then Submit this Registration*