Official SGGA
Registration
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| Please fill in
all fields marked with a * |
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First and
Last
Name |
* |
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Screen Name |
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Email
Address |
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Street
Address |
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City |
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State |
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Zip |
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Phone
Number |
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Number of
people
11 and over |
*
$10.00 each registered person 11 and over
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Name of
Additional
Registered Adults
ages 11 and over
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Number of
people
11 through 15
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* place a zero in
this box
$15.00
each
registered person 11 through 15
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Names and
Ages
of all
Children ages 0 through 10 |
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Is this a
gift
of registration
(if a gift please note for who in the comments)
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Yes
No
*
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How Many
Previous SGGAs Have
You Attended |
* |
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When Will
You be
Arriving
and Departing the SGGA |
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Number of
Gliders Attending |
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Number of
Gliders Needing BML |
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Number of
Gliders Needing HPW |
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Will You
be
Getting a
Vending Table
If Yes : complete a vendors registration
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Yes
No
*
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Comments
or
Questions |
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Payment
Method |
PayPal
Check
Money
Order
*
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