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Etherly Family Reunion 2022 Event Registration Form Stripe on submit

Please complete this form to register for the event.

"*" indicates required fields

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Contact Details

Name*

First Last

Email*

Enter Email Confirm Email

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Details

Adult Early Registration $150 each -- Select count*

Adult early registration is $150 each through April 30, 2022

Enter details below for each adult registrant*

Name

T-shirt Size

T-shirt size choices are Adult (small, medium, large, XL, XXL and XXL and Youth (small, medium, large) and infant.. Please indicate this in the size box.

Teen Registration (13-17 years) $150 each

Teen registration is $150.

Enter details below for each teen registrant*

Name

T-shirt Size

T-shirt size choices are Adult (small, medium, large, XL, XXL and XXL and Youth (small, medium, large) and infant.. Please indicate this in the size box.

Youth Registration (7-12 years) $115 -- Select count

Youth registration for 7-12 years) $115.

Enter details below for each youth registrant*

Name

T-shirt Size

T-shirt size choices are Adult (small, medium, large, XL, XXL and XXL and Youth (small, medium, large) and infant.. Please indicate this in the size box.

Child Registration (25 months to 6 years) $50

Child registration 25 months to 6 years 11 months

Enter details below for each child registrant*

Name

T-shirt Size

T-shirt size choices are Adult (small, medium, large, XL, XXL and XXL and Youth (small, medium, large) and infant.. Please indicate this in the size box.

Infant and Toddler Registration (1 month - 24 months) FREE - Select count*

Infant and Toddler registration is free for 1 - 25 months.

Enter details below for each infant/toddler registration*

Name

T-shirt Size

T-shirt size choices are Adult (small, medium, large, XL, XXL and XXL and Youth (small, medium, large) and infant.. Please indicate this in the size box.

Chesapeake Bay Boat Ride and Lunch

Price: $50.00

This is a boat ride on the Chesapeake in Andre and Lynese's private 52 foot yacht with a 2 hour stop for lunch at the beautiful Hemmingway's Restaurant. Price includes lunch.

Etherly Party Night on the Town in DC

Price: $60.00

Price of $60 includes party transportation and entry to one of DC's top night clubs. Final availability for this event is based on a minimum of 20 reservations otherwise money will be refunded or the event will be modified.

Choose to either pay by credit card here (3% fee) or pay later by $CashApp or check by snail mail*

PayPal Convenience Fee*

Price: $0.00

Total Due for Registration and Events

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