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Registration Deadline: November 10, 2012

Asilomar Reading Conference Jan. 18-20, 2013
“Literacy Bridges”
Registration Form
Overnight Registration

Deadline for registration:   November 10 -- Mail early to ensure your registration.   

Instructions:  Complete all information; incomplete forms will delay registration.  One form per participant.  Assignments are made only when registration and full payment are received from the participant.  Adults only, please.    Registration will be accepted on a space available basis.  Sorry, no refunds; however, registration may be transferred.  Please notify registrar of any changes immediately.  Late fee ($10) after November 10.

Please Note: All submissions are on an UNSECURE network.  Submit credit card information on this page at your own risk.   If you would prefer to mail your registration, see below.

Type the requested information in each box.  Print your name as you wish it to appear on your name badge. 

If you would like to mail your registration, please download and print a copy of the registration form.  Please Note:  If you will be paying by Check or P.O., you must download and mail the printable registration form so that your payment is with your registration.  This will help prevent registration errors.

Click Here to Download the Printable Overnight Registration Form

Contact information:
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Registration Choices:

Days Attending

Registration Status and Fees

Current SCCRC Member -- $85.00
Renewal SCCRC Member -- $125.00
New SCCRC Member -- $125.00
Non-Member/Guest -- $125,00

Lodging Order
Choose Historic or Standard Room

Rooms and Prices


Historic Rooms
Prices Listed Are Per Person
All Rooms Are Non-Smoking
2 Nights Lodging (Fri/Sat) + 6 Meals

If you will be choosing a Standard Room, please select N/A.


Standard Rooms
Prices Listed Are Per Person
All Rooms Are Non-Smoking
2 Nights Lodging (Fri/Sat) + 6 Meals

If you chose a historic room, please select N/A.

Meal Order
6 Meals included with Lodging

Meal Options

Sunday Lunch in Dining Room
Sunday Boxed Lunch to Go

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I acknowledge that a $10 late fee will be added to all orders received after November 10th, 2012
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