YMCAs of the Southeast Hall of Fame Celebration & Induction

Name *

First

Last

Gender *

Age *

Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

What is the Name of Inductee that you will be in attendance for? *

If you are a nominator or an inductee, please do not register yourself. Instead, please contact Amanda Duckworth at aduckworth@yblueridge.org or (828) 232-8978 to make your reservation.

Would you like to register for a Lodging Package or a Commuter Package? *

Lodging Packages
Commuter Packages

Lodging Packages *

One Room for One Guest - $150.00
One Room for Two Guests - $200.00

Lodging packages include one room for Wednesday evening, Dinner on Wednesday, and Breakfast on Thursday.

Please list the NAME and AGE of each additional person in your room *

Would you like an additional room?

Yes
No

Lodging Packages *

Second Room for One Guest - $150.00
Second Room for Two Guests - $200.00

Lodging packages include one room for Wednesday evening, Dinner on Wednesday, and Breakfast on Thursday.

Please list the NAME and AGE of each additional person in the second room *

Commuter Packages *

One Commuter - $45.00

Commuter Packages include the evening program and Dinner on Wednesday evening. Lodging is not included.

Please list the NAME and AGE of each additional commuting guest *

Dietary Restrictions / Special Needs

If anyone in your party has special requests, dietary restrictions OR serious mobility restrictions that would require them to be housed in a handicapped accessible room, please enter them here.

Total

$0.00

YMCAs of the Southeast Hall of Fame Celebration & Induction

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