New York National Guard Family Programs

1
New York National Guard Family Programs State
Volunteer Workshop And Youth Symposium November
2, 3 4, 2007 Adult Attendee Registration Form
Adult Volunteer Full Name_______________________
_______________________________________ Name Tag
Preference_______________________________________
______________ Email ____________________________
______ Street Address ____________________City/S
tate _________________Zip_________ Phone
Home ________________ Work _______________Cell
_________________ Unit Represented (Required)
_______________________________________________
Position Held in FRG __Lead Volunteer
__Co-Lead Volunteer __MPOC _Treasurer __Key
Caller Lodging will be provided by the NYNG
SFPO at The Holiday Inn Turf on Wolf Rd, Latham,
NY To be eligible for lodging, you must reside 51
miles or more from The Holiday Inn Turf. Partial
per diem will be reimbursed with a travel voucher
submitted. ____ Single room (1-2
people) ____ Double room (2-4
people) Emergency Notification Information
Required Name______________________
Relationship_________ Phone_________________
Street Address_____________________ City/State
____________ Zip__________ Please Submit no
later than October 12, 2007 by 5pm Please mail
your registration form to Family Programs
Office, MNFP 330 Old Niskayuna Rd. Latham, NY
12110 or Fax to 518-786-6075 Signature__________
___________________ Date__________________________