BBYO

Please review and confirm the following

Event Information :

NoVA Council Kickoff!

Saturday, September 12, 2015 from 7:00 PM - 9:00 PM

Bowl America, Falls Church, VA 22046

Northern Region East Northern Virginia Council

Event Cost :

$X,XXX Total Amount

$XXX Deposit (due at registration)

Registrant :

<Teen Name>

Select an Amount:

$ X,XXX Total

$ XXX Deposit

The following information is required for each participant. You can provide this information now, or after you register

Dietary Restrictions:

Vegetarian

Kosher

Other

T-Shirt Size:

Roommate Request:

Arrival Information:

Arrival Date & Time:

Airline/Train/Bus:

Flight/Train/Bus #:

Departure Information:

Departure Date & Time:

Airline/Train/Bus:

Flight/Train/Bus #:

Event Registration