SSSC Winter Ride 2009 Registration Form

1st Deposit of $50.00 is due by April 16th, 2008. All payments are final. There will be no refunds or transfer of money allowed.

Participant Information

* First Name

* Last Name

M.I.

Age

Birth Date

* Phone

Alternate Phone

* Email Address

Hotel/Room Information

Choose the occupancy of your room (price per person occupying the room) is your cost.

* Rooms

* Type of room your requesting

Single

Double

Triple

Quad

Roommate #1

Roommate #2

Roommate #3

Roommate #4

Eisenhower I

*

Choose one of the following towers both are connected to the main hall

Please Choose What Type Of Room You Are Requesting:

* Please choose one

1st floor One King Bed

1st Floor One King Bed Pool Side

1st Floor Two Full Size Beds (Double, Triple or Quad Occupancy Only!)

1st Floor Two Full Size Beds Pool Side (Double, Triple or Quad Occupancy Only!)

2nd Floor One King Bed

2nd Floor One King Bed Pool Side

2nd Floor Two Full Size Beds Pool Side (Double, Triple or Quad Occupancy Only!)

2nd Floor Two Full Size Beds (Double, Triple or Quad Occupancy Only!)

Executive King Bed With Microwave and Small Refrigerator

Eisenhower II

* Please choose one

1st floor Two queen Beds With Microwave and Small Refrigerator (All Double Occupancy Only!)

2nd Floor Two queen Beds With Microwave and Small Refrigerator (All Double Occupancy Only!)

3rd Floor Two queen Beds With Microwave and Small Refrigerator (All Double Occupancy Only!)

Payment Information

* Method of Payment:

I am sending a check/Money Order to Soulful Sisters Social Club, P.O. Box 471533, Forestville, MD 20753

Money will be given to Soulful Sister:

** Make All Checks or Money Orders Payable to: Soulful Sisters Social Club.

* Payment #

* Payment Date (mm/dd/yy)

* Payment Amount, i.e.($50.00)

Will you be participating in any of the following: Y or N

Friday Night Tubing

Saturday Morning Tubing

Saturday Skiing

Sunday Roller Skating

Sexy Single Game Show

Drink or Think Game Show

Men 3 on 3 Basketball Tournament

Men Shirtless Tug of War

Lady Sexy Bottom Contest

Pajama Contest

Boxer Short Contest

Swim Suit Contest

I will be doing it all

If you have any suggestions how we can make this trip greater than what it will be, please let us know.

* Indicates Response Required