2008 AZNG State Family Programs Workshop & Youth Symposium
"Life Is A Highway"
August 22-24, 2008

Adult Registration Form
Please Complete this form and all other required forms and waivers, LISTED ON THE CHECKLIST BELOW, and submit a hard copy to
State Family Programs Office. 

Mail:   AZNG State Family Programs Office
            ATTN: 2008 State Family Programs Workshop                                   Fax: 602-629-4483
            5636 E. McDowell Road                                                                     Scan & Email:  Stephanie.powers@us.army.mil
            Phoenix, Arizona 85008
                                                                                           
                                                                       ** This form Must be received by 13 August 2008**

 Military Representative (Military POC/RDO, Commander, BN/BDE CSM, First Sergeant, Retention NCO)
 FRG Leadership Member (Chairperson, Co-Chairperson, Treasurer, Secretary)
 AZNG SFP Staff member/employee          Other

Last Name First Name Middle Initial

Unit Represented FRG Position/Rank

Home Address City State Zip Code
                                                    (xxx) xxx-xxxx
Phone Number (with Area Code) Email Address

               Additional authorized registration from the same address (complete if attending workshop/youth symposium)
   Military Representative (Military POC/RDO, Commander, BN/BDE CSM, First Sergeant, Retention NCO)
   FRG Leadership Member (Chairperson, Co-Chairperson, Treasurer, Secretary)
  AZNG SFP Staff member/employee       Other

                                                                                         Hotel information
Number of individuals who will be staying in your room (incl. self)  Adults Children (6-17)*
                                                                              Submit a separate registration form for your spouse.
Special room requirements (Check all the apply)

  Smoking                                          Non-Smoking                             Handicap accessibility
  Roll-away bed ($15.00 per night)    Portable crib ($15.00 per night)   Other
NOTE: Your are responsible for any additional room charges.

Family Readiness Groups and/or commands who desire to donate a gift basket as a door prize are encouraged to do so. The value of the door prize should not exceed $20.00 and must be labeled with the name of the FRG or command donating it.

Will your FRG or command be providing a gift basket as a door prize  Yes   No

* If you are bringing child/children of the Youth Symposium, pleas fill out the Youth Registration Form and the Medical, Travel and Athletic Consent Form and Power of Attorney and submit YOUR registration of the above address or fax number by the deadline!
** We are NOT providing CHILD CARE at the workshop this year due to liability and changes that are being enforced by National Guard Bureau, please make your own child care arrangements --- sorry for the inconvenience.

I have completed and attached all required forms (all forms must be received  NLT  13 August 2008

  Adult Registration                        Request for orders (ITO for FRG leaders & volunteers ONLY) Will be completed at registration
  Youth Registration (6-17)             Youth Waiver
  Voided Check - required for non-military members for mileage and/or per diem reimbursement with Invitational Travel Orders (ITO) BRING THE ORIGINAL VOIDED CHECK TO THE CONFERENCE.
                                                                                  Fax to: 602-629-4177

A. Garcia/IT
Copyright © 2003 [AZNG Family Programs Office]. All rights reserved.
Revised: 08/07/08