REGISTRATION

Name*
First Last
Email*
Spouse's Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Company / Association
Spouse's Company / Association
Is this your first Awakening?
- Yes
- No
No? How many times have you attended including this year?
Will you be bringing your children?
- Yes
- No
Please list the children:
Click + to add more fields.
Child's Name Age
Awakening Registration Fee*
Please indicate one choice.
- Family (more than 2) $750
- Couple $675
- Individual $550
Adult Meal Plan
Please enter the number of Adults. (This includes all meals from Friday lunch to Sunday Brunch. Also includes all gratuity and taxes)
Price: $350.00 Quantity:
Child Meal Plan
Please enter the number of Children (Ages 2 - 11)
Price: $150.00 Quantity:
Donation to the Awakening Foundation
Please enter your donation amount (optional).
Total
$0.00
Optional Activities
Please reserve ____ seats for the pre-release showing of the Gosnell movie on Friday afternoon in the Cloister theater at 3:30pm.
Gosnell: America's Biggest Serial Killer is a story based on the actions of Philadelphia abortionist Dr. Kermit Gosnell.
Golf Tournament
I/we would like to participate in the golf tournament on Friday (Tee time is 10:00am.)
- Yes
- No
List*
Name Handicap

Optional Activities