Dorothy Young People's Weekend

October 8th-11th, 2021

Event Details
Invitation
Registration
More

Registration

Use the following form to register for the 2021 Dorothy YP Event!

1. Responsible Adults

Adult #1:

First Name: *

Last Name: *

Age:

Gender: *
MaleFemale

Adult #2:

First Name:

Last Name:

Age:

Gender:
MaleFemale

2. Contact Information

Home Assembly: *

Email: *

Telephone:

3. Children

Have children to add? *
YesNo

Child 1 Name:

Age:

Gender:
MaleFemale

Child 2 Name:

Age:

Gender:
MaleFemale

Child 3 Name:

Age:

Gender:
MaleFemale

Child 4 Name:

Age:

Gender:
MaleFemale

Child 5 Name:

Age:

Gender:
MaleFemale

Child 6 Name:

Age:

Gender:
MaleFemale

4. Meals

A full breakfast will be provided at your hotel, free of charge.

I will need the following meals: *
Friday SupperSaturday BreakfastSaturday LunchSaturday SupperLord's Day LunchLord's Day SupperMonday Breakfast

5. Lodging

Please choose one of the following:*
I have arranged to stay locallyI need accomodations

I have arranged to stay locally with

for the following nights
FridaySaturdayLord's Day

If possible, I would like to stay with

I would like:
An additional cot in my roomAn additional crib in my room

6. Travel

Pickup needed? *
No pickup neededPickup needed

Airport, airline, arrival time, etc.

7. Comments

Comments/Other information:

Review & Submit

Please review all form entries before clicking 'Submit'.

2021 Registration is now CLOSED.

Contact Information

If you are having problems with the website please contact Joseph and Joanna Countouris;

Phone :: 856-207-4214

Email :: dorothyconference@gmail.com

Conference Location

Dorothy Meeting Room

10 Pennsylvania Ave
Dorothy, NJ 08317

Contact Information

Conference Location

Maps & Directions