ASDI Annual summer retreat 2022 Please enable JavaScript in your browser to complete this form.First Name *Last Name *Email *EmailConfirm EmailSign-up for our ASDI Ecares newsletter?GenderFemaleMalePhone *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSleeping Preferences (Check all that apply.)CPAPNite OwlSnoresEarly to BedPlease Choose an Option *OPTION 1: TWO NIGHTS + 5 meals: Fri Dinner; Sat Bkfst, Lunch, and Dinner; Sun Bkfst - $195.00 (DOUBLE Occupancy) due by Friday, July 8, 2022 (2 twins beds in 2 rooms - (4 people) sharing 1 bathroom).OPTION 2: TWO NIGHTS + 5 meals: Fri Dinner; Sat Bkfst, Lunch, and Dinner; Sun Bkfst - $220.00 (SINGLE Occupancy - 2 rooms with 1 twin bed in each room with 2 people sharing bathroom). Due by Friday, July 8th, 2022.OPTION 3: COMMUTER RATE - Includes 5 meals: Fri Dinner; Sat Bkfst, Lunch, and Dinner; Sun Bkfst and registration - $90.00 Due by Friday July 8, 2022.DEPOSIT OF $100.00 - NON REFUNDABLE for retreat - HOLDS SPOT Due Friday, June 24th, 2022.ALL FINAL PAYMENTS DUE FRIDAY JULY 8, 2022Extra Day(s) Add-on OptionNONEEXTRA DAY ADD ON - 3 nights, Add Sunday night - $85.00 - Includes 8 meals: Fri Dinner; Sat Bkfst, Lunch, and Dinner; Sun Bkfst, Lunch, Dinner, and Monday Bkfst.EXTRA DAY ADD ON - 3 nights, Add Thursday night - $85.00 - Includes 8 meals: Thurs Dinner; Fri Bkfst, Lunch, and Dinner; Sat Bkfst, Lunch, Dinner, and Sun Bkfst.EXTRA TWO DAY ADD ON - 4 nights, If you choose to stay Thurs and Sunday Night - Add an additional $170.00 - Includes meals as listed on EXTRA DAY ADD ON.Optional DonationOptional Donation to ASDI for Scholarship Fund Total$ 0.00Comment or Message - (If handicapped do you have other needs, what are they? ROOMATE?)NameCHECK OUT