NAGLNJ Weekend Conference 2024

Demographics:

Full Legal Name*

Email*

Phone Number*

Closed AA Conference*

This is a closed conference of Alcoholics Anonymous. In support of A.A.'s singleness of purpose, attendance at a closed conference is limited to persons who have a desire to stop drinking. If you think you have a problem with alcohol, you are welcome to attend this conference.

I have read and agree to the terms above.

FVL" Keeping Kids Safe" Policy:*

All attendees must provide their name & DOB, as per FVL's "Keeping Kids Safe" policy. I understand NAGLNJ will be providing my name & DOB to FVL, for this purpose. For more information about this policy, click on the following link: http://www.fairviewlakeymca.org/main/keeping-kids-safe/

I have read and agree to the terms above.

Date of Birth:*

Registration:

Registration Options:*

Full Weekend ($225.00) [1 remaining]
Price includes cabin-style lodging, delicious meals, exciting activities, fellowship & AA meetings, unlimited coffee, Saturday night dance, and other recreational activities!
Saturday Day Pass ($69.00) [Join Waitlist]
Price includes lunch & dinner on Saturday, exciting activities, fellowship & AA meetings, unlimited coffee, Saturday night dance, and other recreational activities!

Lodging:

(This section is for Weekend attendees only)

Cabin Assignments:

Cabins are assigned per gender.

Gender:

Female
Male

Cabins are assigned to about 10 people per cabin. If you have a friend (or friends) you'd like to share your cabin with, please note their name/ names below and we'll do our best to accommodate.

Cabin Preference:

I'd like to share my cabin with:

Additional:

(This section is for Weekend & Saturday Day Pass attendees):

Dietary Restrictions*

None
Vegetarian
Vegan
Gluten Free

Financial:

Scholarship Contributions:

We are grateful for any and all scholarship contributions. If you're interested in contributing to a scholarship, please enter the amount you wish to contribute here. All contributions will be used to pay for an individual who would not otherwise be able to attend the conference without your financial support.

My Scholarship Contribution:

Add 3% to my donation to cover credit card fees.

Refund Policy:*

I understand there are no longer any refunds available. If I need to cancel, for any reason, I may transfer my spot to someone else by submitting the request to [email protected] by Monday, 10/14/24. I understand transfers won't be possible after this deadline. Also, I understand that if there is a waitlist, the spot defaults back to the group for those on the waitlist first.

I have read and agree to the terms above.

Coupon Code

Total Amount:

$0.00

Payment Information

Name*

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Demographics:

Registration:

Lodging:

(This section is for Weekend attendees only)

Cabin Assignments:

Cabin Preference:

Additional:

(This section is for Weekend & Saturday Day Pass attendees):

Financial:

Scholarship Contributions:

Payment Information

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