City: ____________________________ State: ____________
(home) ________________ (cell)________________
Please bring a list of any medication you take in a sealed envelope and place in your purse
or bead case in case it becomes necessary for you to be hospitalized while in Shreveport.
Check Room Requirements: (Per Person for Weekend Event. Includes Lodging
for Friday, and Saturday nights, meals Friday evening, Saturday, and Sunday lunch, taxes, room fees.
If you are arriving earlier than Thursday and want to make reservation
please call the Wyndham Garden Hotel 318-797-9900.
___Smoking ___Non Smoking ___Handicap Room
Thursday - Sunday (This includes additional room charge)
Room ___ $501.00 Double Room ___ $348.00
(Per Person for Weekend event - includes lodging for Thursday, and Saturday nights, meals
Friday evening, Saturday, and Sunday lunch)
- Sunday Private Room ___ $401.00 Double Room ___ $298.00
Person for Weekend event - includes lodging for Friday, and Saturday nights, meals Friday evening, Saturday, and Sunday lunch)
Assign me a roommate _______________________________
sharing a room with _______________________________
Day Visitor $185.00 (includes classes and lunch & supper
meals, subject to space available; advance registration required.)
Please let me know if you have special dietary needs
Mail form and check/money order.
7302 Whispering Pines Rd
Shreveport, LA 71129
No refunds after 3 weeks prior
to the event date. You may transfer your registration to another individual (subject to my approval).