AMUUSE WEEKEND REGISTRATION
Questions: Contact Sharon at 847-816-3356; ssamuuse@aol.com
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Please bring a snack to share with the group.
Registration begins at 5 pm
Saugatuck operates on Chicago time (Central time).
Yellow Springs is on Eastern time.
Dinner is not served at the Saugatuck weekends. If you arrive around 5 pm, usually there will be individuals who will want to go out to eat together. If you are arriving later, you should
have dinner before you arrive.
A light dinner will be served at Yellow Springs.
Print off the Registration Form below and mail it with the appropriate registration fee made
payable to AMUUSE to:
AMUUSE
Sharon Spencer, Registrar
336 Birchwood Court
Vernon Hills, IL 60061
payable to AMUUSE to:
AMUUSE
Sharon Spencer, Registrar
336 Birchwood Court
Vernon Hills, IL 60061
Questions: Contact Sharon at 847-816-3356; ssamuuse@aol.com
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WEEKEND REGISTRATION FORM
Please check the box of the weekend you plan to attend:
□ March 16-17, 2012 □ May 4-6, 2012 □ November 9-11, 2012
Saugatuck, MI Yellow Springs, OH Saugatuck, MI
$145.00 $70.00 TBD
Date not confirmed
If paying online: Amount Paid $_____________ Dated Paid ___________
__ Male ___ Female
Name _____________________________________________________________
Address ___________________________________________________________
City ___________________________ State _____ Zip _____
Email Address: ______________________________________________________
H Phone _______________ W Phone _______________ Cell ________________
Estimated Time of Arrival ______________ Vegetarian ______________________
Food allergies._______________________________________________________
Accessibility needs.___________________________________________________
I am interested in helping by DJing (at Saugatuck), leading a morning group, after-
noon activity, other _________________________________________________
_________________________________________________________________
Please check the box of the weekend you plan to attend:
□ March 16-17, 2012 □ May 4-6, 2012 □ November 9-11, 2012
Saugatuck, MI Yellow Springs, OH Saugatuck, MI
$145.00 $70.00 TBD
Date not confirmed
If paying online: Amount Paid $_____________ Dated Paid ___________
__ Male ___ Female
Name _____________________________________________________________
Address ___________________________________________________________
City ___________________________ State _____ Zip _____
Email Address: ______________________________________________________
H Phone _______________ W Phone _______________ Cell ________________
Estimated Time of Arrival ______________ Vegetarian ______________________
Food allergies._______________________________________________________
Accessibility needs.___________________________________________________
I am interested in helping by DJing (at Saugatuck), leading a morning group, after-
noon activity, other _________________________________________________
_________________________________________________________________
************************************************************************
Please bring a snack to share with the group.
Registration begins at 5 pm
Saugatuck operates on Chicago time (Central time).
Yellow Springs is on Eastern time.
Dinner is not served at the Saugatuck weekends. If you arrive around 5 pm, usually there will be individuals who will want to go out to eat together. If you are arriving later, you should
have dinner before you arrive.
A light dinner will be served at Yellow Springs.