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Please Print Clearly!!! Attendee Name: ______________________________Title:______________________ School/Town/Village: ______________________ County: _______________________ Address: _______________________________________________________________ Daytime Phone: __________________________ Cell Phone: _____________________ Email Address: __________________________________________________________ Guest Attendee Name: ___________________________________________________ Commuter Meals: How many meals? Total $ amount due Sunday Reception - $30.61 ________________________________________ Monday Breakfast - $27.95 ________________________________________ Monday Lunch - $37.27 ________________________________________ Monday Dinner – On your own Tuesday Breakfast - $27.95 ________________________________________ Tuesday Lunch - $37.27 ________________________________________ Tuesday Dinner - $50.58 ________________________________________ Wednesday Breakfast - $27.95 ________________________________________ Registration Fee (everyone) - $100.00 ______________________________________ TOTAL DUE: __________________________________________________ Please let us know if you have any food allergies or have special meal requirements Confirmation of Registration will be emailed to you. Cancellations received at least ten days prior to the event will be refunded, less a $25.00 processing fees. Please visit www.NYSATRC.com, for updates on the June Seminar, Membership, Conference Registration and Hotel Registration. Thank you and we look forward to seeing you at the 2026 Training Conference. Date Received _______ Check _____ Posted ____ Hotel ____ Commuter ____ Email sent _______ Page 83 of 280