Name ________________________________ County _________________________
Address _______________________________________ City ____________________
State ______ Zip ______ Phone ____________ E-mail _________________________
Name of Spouse (if attending) _____________________________________________
Names/Ages of Children (if attending) ______________________________________
Names of Guests________________________________________________________
Registration includes all scheduled meals from Wednesday breakfast through Thursday banquet.
Make checks payable to NEDACAA. Please return registration form and payment to:
J. Mike Williams
NCCES, Chowan County Center
730 North Granville Street, Suite A
Edenton, NC 27932-1434
| Registration | Number | Cost | Total |
|---|---|---|---|
| Members & Guests | x $50 = | ||
| Spouse | x $30 = | ||
| Children | x $15 = | ||
| Life Member | x $50 = | ||
| Late Registration* After May 16 per person | XXXXX | $15 = | $15 |
| Early Bird Events - Tuesday, June 10, 2003 | Number | Cost | Total |
|---|---|---|---|
| Golf Tournament at Goose Creek Golf Course | x $30 = | ||
| Usual score for 18 holes:______ /make own team? ___Yes __No | |||
| Lost Colony (Adults) | x $14 = | ||
| Lost Colony (Youth, 11 & under) | x $8 | ||
| Professional Development, Spouse/Life Member Tours and Youth, Total Numbers | Number | Cost | Total |
| Each Tour | x $5 = | ||
| Total Amount Due | |||
| Professional Development Tours | ||
|---|---|---|
| Wednesday, June 11, 2003 Tours 7:30 am - 1:00 pm ($5/person/tour) | 1st Choice (#) | 2nd Choice (#) |
| Wright Brothers National Memorial & Jockey's Ridge State Park | ||
| North Carolina Aquarium on Roanoke Island | ||
| Manteo Waterfront including Roanoke Island Festival Park and the North Carolina Maritime Musuem | ||
| Elizabethan Gardens & Fort Raleigh | ||
| Dare County Master Gardener Arboretum & Nags Head Woods | ||
| Hatteras Lighthouse & Chicamacomico Life Saving Station | ||
| Eastern 4-H Environmental Education Conference Center & Columbia Waterfront | ||
| Hyde County Onion Production | ||
| Will not participate in tours | ||
| Spouses and/or Life Member Tours ($5/person/tour) | |
|---|---|
| Prof. Development Tours | indicate above |
| Thursday, June 28 | Total attending |
| Ocracoke Island | |
| Knotts Island Winery & Currituck Roadside Produce | |
| Whalehead Club & Currituck Lighthouse | |
| Whanchese Seafood Park | |
| Youth Activities ($5/youth-COVERS ALL ACTIVITIES-be sure to register for EACH activity so we can get a head count. Adults are FREE, but be sure to register for them also) (5 years and Older) | ||
|---|---|---|
| Tuesday, June 10 | Total Youth Attending | Total Adults, Attending |
| Crafts and Movies 8 pm til Midnight | ||
| Wednesday, June 11 | ||
| 8:00 am-2:00 pm Jockey's Ridge, Putt-Putt, and Wright Memorial | ||
| Thursday, June 12 | ||
| 8:30 am- 4:30 pm Shell Hunt on beach, Roanoke Island, Elizabeth II, Adventure Musuem, NC Aquarium | ||
| 6:00 pm-9:30 pm bring swim suit Pizza Party (not attending banquet) | ||
| Help us plan for meals | |
|---|---|
| # | How many will be attending |
| Wed. Breakfast Buffet | |
| Opening Luncheon (Wed.) | |
| Cookout (Wed.) | |
| Recognition Breakfast (Thur.) | |
| Buffet Lunch (Thur.) | |
| Banquet (Thur.) | |
| Pizza Party (not attending banquet) | |