Please download, fill out, sign and return a completed print copy to Deb Bauder.

Registration Fees: $1,250.00. $150.00 deposit (non-refundable).

Note: if you are registering multiple individuals, you will need to fill out a separate form for each person. However, you will only need to submit payment once. When paying by card, you will need to enter the total amount being paid. You will only need to pay once if you are registering more than one person.
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Scholarship Opportunity: Scholarships are available upon request. If financial assistance is needed, please contact Kelly Miller at kelly.miller@caryalliance.org.