New York National Guard Family Programs State Volunteer Workshop And Youth Symposium

1. New York National Guard Family Programs State Volunteer Workshop And Youth Symposium November 2, 3 & 4, 2007 Adult Attendee Registration Form • Adult Volunteer • Full Name:______________________________________________________________ • Name Tag Preference:_____________________________________________________ • Email __________________________________ • Street Address: ____________________City/State: _________________Zip:_________ • Phone: Home : ________________ Work: _______________Cell: _________________ • Unit Represented: (Required) _______________________________________________ • Position Held in FRG: • __Lead Volunteer __Co-Lead Volunteer __MPOC _Treasurer __Key Caller • Lodging will be provided by the NYNG SFPO at The Holiday Inn Turf on Wolf Rd, Latham, NY To be eligible for lodging, you must reside 51 miles or more from The Holiday Inn Turf. Partial per diem will be reimbursed with a travel voucher submitted. • ____ Single room (1-2 people) ____ Double room (2-4 people) • Emergency Notification Information Required • Name:______________________ Relationship:_________ Phone:_________________ • Street Address:_____________________ City/State: ____________ Zip:__________ • Please Submit no later than October 12, 2007 by 5pm • Please mail your registration form to • Family Programs Office, MNFP • 330 Old Niskayuna Rd. Latham, NY 12110 • or • Fax to 518-786-6075 • Signature_____________________________ Date__________________________