Registration Form 2010
Fees include housing, meals and program.

On-line payment can be made by Discovery, Mastercard or Visa Credit Card (see below).
Online registrations will be confirmed only if deposit is received by mail to the address below within 10 days of registering.
Events offering discounts must be postmarked by deadline dates.

Direct line to Program Coordinator  (775) 588-1835
Register for a program by completing this form.
A separate form must be submitted for each event.

Event Registering for    Event Date

Adult Name(s) 

Address    E-Mail 
     
City    State          Zip 

Phone (home)       Phone (work or cell)

Medical dietary needs? (Please be specific)  

Physical limitations   
                                                                                      (Please be specific so we may better serve your needs)

Housing:  Please check your conference housing plan.  If offered a choice, mark first and second choices:              
           
            Deluxe Housing (Tahoe/Tallac)           Standard Housing (cabins)  

Roommate preference
                                                                                   
(We will accommodate if possible with early requests)

Church attended          Location 


The following conferences require additional information

Grand Adventure and Family Winter Holiday:
 
                   Children's full name(s)   Age   Gr

                                                       Age   Gr

                                                       Age   Gr


Summer Sing:     
               Singing Part     Sop I   Sop II   Alto I   Alto II Ten I Ten II   Bass I   Bass II

Kaleidoscope:   Discipline:  1st Choice     2nd Choice:

Interim Pastor's Seminar
:  Use Interim Pastor's Mail-in Registration form

Zephyr Experience
:  Use Zephyr Experience On-line Registration form

                                                                      Enrollment is limited:  Register early!                         


         I would like to help another person enjoy a Zephyr Point sponsored event.  My Donation of $ is added to my amount due below.

                
                                                     Amount for event  $       Total enclosed $




Card Holder Information Required for Online Payment by Credit Card      
(note registration is done on a secure server)

Name on Credit Card

Phone (home)  

Street Address 

City      State        ZIP

Card Number         Expires  Year    Month 

Authorized Amount ($)

If not paying online with credit card, we must receive a deposit check within 10 days of this registration to secure your space.           

Send full payment if possible, or send non-refundable deposit.
Events offering discounts must be postmarked by deadline dates.
Total balance (non-refundable) is due in advance as stated per event.
Include event name on check.

Send deposit to:
Zephyr Point Presbyterian Conference Center
P O Box 289, Zephyr Cove, NV   89448

We recommend you print out the completed form for your records before you submit it.