Deadline for registration is June 15, 2010
NAME; (as you wish it to appear on name tag)_________________________________________________________________
Address:_______________________________________________________________________________________________
City:___________________________________________State________________Zip:________________________________
DOK Chapter_____________________________Parish__________________________Diocese________________________
Phone____________________________________________Email:_______________________________________________
Special Request:________________________________________________________________________________________
(dietary, handicapped room; special room equipment, i.e. raised toilet seat, shower/tub bars, etc.)
Roommate_____________________________________________________________________________________________
Circle Housing Preference: Inn Cottage Guest House (Smoking ONLY outside)
Circle all applicable: Deacon, Priest, Chaplain, Bishop, Sr. Daughter, Delegate, 1st Timer, Visitor
Kanuga Overnight Rates for DOK (includes lodging & meals) Rates are all inclusive
| Dates of Stay | Rate/person Double | Rate /person Single | Commuters rate | |
| Fri 6/25(S) - Sun 6/27(B) | $177.50 | $242.00 | Breakfast--$9.75 | |
| Fri 6/25(S) - Sat 6/26(L) | $88.75 | $121.00 | Lunch--$10.90 | |
| Fri 6/25(S) - Sat 6/26 (S) | $101.75 | $134.00 | Supper--$14.00 | |
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Please circle your preference on the above chart.
Arrival Date & First Meal_____________________________ Departure Date & Last Meal ______________________
Commuters: please circle the days you will be attending: Fri Sat Sun
Commuters: please circle the meals you will be eating: S B L S B
COMMUTERS NOTE: You are requied to pay Kanuga a $5.00 per day fee with or without meals.
Full Payment for room and board is due to Kanuga on Arrival (Payable by cash, check, Visa or Mastercard)
It is important that you register in advance as Kanuga cannot guarantee meals & housing will be available without a registration. PLEASE NOTE: there will be a $15.00 fee per person per night charged by Kanuga without a 24 hr notice of cancellation, includes commuters. For cancellations after Jun. 24th , please call Kanuga @ 828-692-9136.
A non-refundable registration fee of $30.00 payable to DOK, Province IV, is required with this form.
Mail this form with DOK registration fee TO: Margaret Kidd
161 LONG LAKE RD,
HAWTHORNE, FL 32640
Please make a copy for yourself EMAIL: paulkidd1@windstream.net