STEP 1: 2008 Thunderhead Retreat--Participant Registration Form

You must complete a registration form for each person attending the retreat.

Thunderhead Members should login below to populate the registration form and receive reduced pricing:

Participants Contact Information:

Participants Full name:
Participants Organization:
Participants Email Address:
Participants Phone Number:

Participants Meals, Lodging, and Other Preferences:

Dietary Requirements: Do you have any requirements regarding refreshments or meals?	Does Not Matter Vegetarian Vegan Food Alergies Other
Lodging: Participants will be housed at Island Wood and will be assigned three people to a room. Please tell us the names of people that you might want to room with and we will do our best to accomidate your request:
Lodging: Do you have any special requests regarding lodging arrangements? Be sure to include any special adaptations needed by the participant:
Printed Materials: Thunderhead will provide printed materials for all participants. Be sure to indicate if any materials need adapted for your situation:	No Adaptation Is Required Electronic (Word) Electronic (PDF) Large Print Braille Other

Miscellaneous:

Payment: Please indicate how you will be paying for your registration to the retreat?	Online (Via Pay Pal/Credit Card/Electronic Check) Mailing in the Payment Phone (Via Credit Card) Another Organization is Paying my Registration
Do you plan on attending the Safe Routes to School Advocacy Preconference after the retreat Tuesday afternoon?	Yes No Need More Information
Do you plan on attending the 2008 ProWalk/ProBike Conference after the Thunderhead Retreat?	Yes No Need More Information

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Thunderhead Alliance for Biking and Walking: 1700 Pennsylvania Ave. NW, Ste. 400, Washington, DC , 20006
Washington, DC: 202-349-1479 | San Francisco: 415-513-5281 | Columbus: 614-626-4230
A 501(c)(3) Organization

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