FUTURE BOARD MEETINGS   (All members are welcome) Saturday, Feb. 2nd   Saturday, Apr. 6th   Saturday, June 8th Saturday, Sept. 10th at Thistle Needleworks   Saturday, Dec. 7th

 

Registration Form - Part 1
 
New England Region Spring Break
March 30-31, 2019     Enfield, CT

Please print or type all information.  Please be sure to complete all sections of this form.  It is important that you fill out the form completely and correctly.  Please contact the Registrar if you have any questions regarding this form.  Registration is open immediately and closes on February 1, 2019.

First and Last Name: ___________________________________________________________

Street Address: ________________________________________________________________

City, State and Zip: ____________________________________________________________

Phone (             )______________ Email ____________________________________________

Primary EGA Chapter, if applicable: _____________________________________________

EGA Region, if applicable: ______________________________________________________

EGA Membership Number: __________________________________
Emergency Contact:

Name: ___________________________________________ Phone (             )______________
 
      __ I am willing to be a class angel.
      __ I need a roommate.  Please include me on the roommate list.

    Dietary restrictions cannot be filled at the event.  Please list any requests on this form.

      __ I have dietary restrictions.  Please list: _________________________________________

PLEASE SEE NOTE AT THE BOTTOM OF THIS FORM

                                                          CLASS SELECTIONS
            Please indicate
      1st, 2nd and 3rd choices           CLASS                                    INSTRUCTOR
      __1^st     __2^nd     __3^rd                 Rocaille Refinement               Amee Sweet-McNamara
      __1^st     __2^nd     __3^rd                 Lovely Leaves Sampler         Denise Harrington Pratt
      __1^st     __2^nd     __3^rd                 Lily of the Lake                       Gail Sirna
      __1^st     __2^nd     __3^rd                 Daffy Pansies                          Judy Jeroy
      __1^st     __2^nd     __3^rd                 Studio Time

Registration Form – Part 2
NEW ENGLAND REGION SPRING BREAK
MARCH 30-31, 2019    ENFIELD, CT
Registration Fees

Non-Refundable Registration Fee			$25.00
Two-day Class Tuition, Friday Night Welcome Reception, Saturday and Sunday lunches, Saturday Evening Banquet, Favors, and Nametag			$192.00
TOTAL REGISTRATION COSTS			$217.00
OPTIONS	QUANTITY	PRICE	TOTAL
EGA out of New England Region member		$10.00	$
Non EGA member		$30.00	$
Guest Ticket(s) __ Saturday Lunch __ Saturday Dinner __ Sunday Lunch		$25.00 $40.00 $25.00	$ $ $
OPTIONS TOTAL			$
GRAND TOTAL – Please add Total Registration Costs and Options Total   Payment is to be made by check or money order in US Funds payable to: NER EGA			$

Release Form

I release The Embroiderers' Guild of America, Inc. and the New England Region EGA from any liability for any related financial loss, theft, property damage, or personal injury resulting from registering or participating in, attending any or all functions at Spring Break, and traveling to and from Spring Break.  I understand that a cancellation request must be made in writing by February 2, 2019.  A refund, less $25.00 fee, will be made through that date.  Cancellations between February 3 and March 15, 2019 will result in a refund minus $25.00 fee and kit fee.  After March 15, 2019, no refunds will be made.

Signature

Date

Mailing Instructions

Be sure to include the following:
❀   A completed Registration Form with BOTH Parts 1 + 2
❀   Check or money order payable to: NER EGA for the total amount due.
❀   Confirmation will be made via email.  If you do not have email, send a self-addressed postcard for confirmation that the registrar has received your registration.
❀   Kit cost will be emailed after registration closes.  If you do not have email, you will be contacted with your kit cost.

PLEASE PHOTOCOPY BOTH SIDES OF THIS FORM FOR YOUR RECORDS.

Mail to Registrar:	Laurel Kulas 13 Fairfield Drive Windsor Locks, CT 06096	860-970-3893 ljhealy1@yahoo.com
Spring Break Chair:	Susan Polumbo 65 Wren Drive Suffield, CT 06078	860-573-5928 biggregp@aol.com

When emailing, please include Spring Break in email subject line.

Just a reminder to bring your usual stitching tools and equipment including scissors and lighting and magnification.

NER Spring Break: Embroiderers’ Guild of America
Room Block Information
Room Block Information for Holiday Inn Enfield-South Springfield
Rooms are available at a discounted group rate of $89 (plus 15% occupancy tax) for
March 28 - April 1, 2019(Check-out date)
Reservations can be made by calling: 800.HOLIDAY • Reference Room Block Code: NER or
NER Spring Break - Embroiderers’ Guild
Check-In Time: Any time after 3:00pm • Check-Out Time: Any time up until 11:00am
*Early Check-In cannot be guaranteed*
Please make reservations by February 28, 2019 in order to secure a room at the group rate.
Rooms may not be available after February 28, 2019.
Complimentary airport transportation is available to/from Bradley International Airport.
Please call the hotel directly at 860.741.2211 to schedule your pick-up in advance and to
confirm availability.
Indoor & Outdoor (Seasonal) Pools • Fitness Center • Business Center • Snack Shop
Spacious Grounds • In-House Restaurant and Bar (Open for Breakfast and Dinner)
Basketball Court • Guest Operated Laundry

CRVC Program Registration Form Class continuing Lorene Salt's "Frozen Reflections" on February 2nd Mail completed form to:  Linda Berry, 343 Seabury Drive, Bloomfield, CT 06002 by January 30th.  Make check payable to CRVC-EGA. Class continuing Lorene Salt's "Frozen Reflections" ________ I plan to attend ________ Lunch ($8) Name:     ________________________________________________________________________   Address: ________________________________________________________________________   Email address: __________________________________________________________________   Phone#: ________________________________________

CRVC Program Registration Form "Little Japanese Girl" at Duncaster on April 6th Mail completed form to:  Linda Berry, 343 Seabury Drive, Bloomfield, CT 06002.  Make check payable to CRVC-EGA.  Deadline: April 1st "Little Japanese Girl" ________ Kit Fee $30 ________ Lunch ($8) Name:     ________________________________________________________________________   Address: ________________________________________________________________________   Email address: __________________________________________________________________   Phone#: ________________________________________

CRVC-EGA Membership $57. Primary Membership $15. Plural Membership (NER) $18. Plural Membership (not NER) For a membership card, please enclose a SASE. Amt. Pd. ____________ Check #  ____________ Date Pd. ____________     (keep as your receipt)

CRVC-EGA Membership and Address Change Form The membership year runs from June 1 to May 31.  If you are joining after September 1, please contact the membership chairman for prorated dues. Mail your completed form to:  Suzanne Newton, CRVC-EGA Membership, 14 Madison Lane, West Simsbury, CT 06092. Make check payable to CRVC-EGA.  Enclose SASE for membership card.         __ Address/Email Change         __ CRVC Primary Membership ($57)         __ Plural Membership, Primary Chapter in New England Region ($15)         __ Plural Membership, Primary Chapter not in New England Region ($18) Name:             ____________________________________________________ Address:        ____________________________________________________ City, ST,ZIP  ____________________________________________________ Phone:           _________________ Email:______________________________ Primary Chapter:   ________________________________________________ Membership No.  _______________________   Total Enclosed $___________