Registration Form

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2025 Registration Form

2025 Hilton Head Mid-Winter Conference Registration Form

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Conference Ticket(Required)

Please choose your fellowship

Home Group

Please enter the name of your home group or type (none) if you do not wish to have your home group displayed on your badge

Conference Add-Ons

Below are optional add-ons that are NOT included with your conference registration. PLEASE NOTE: Conference Add-Ons REQUIRE a conference registration and CANNOT be sold stand alone

BANQUET(Required)

Join us Saturday evening for a delicious catered meal and front row seating for our Saturday night Speaker meeting in the Grand Ballroom. Cost is $50 per person.

BANQUET Options(Required)

Please choose your entree

BANQUET Dietary Alert

Please let us know if you have any food allergies that are not listed

ALANON LUNCHEON(Required)

Join us Saturday afternoon for a delicious catered meal and with our Al-Anon speaker. Cost in $25 per person. Space is limited.

ALANON LUNCHEON Options(Required)

Join us Saturday afternoon for a delicious catered meal and with our Al-Anon speaker. Cost in $25 per person. Space is limited.

ALANON LUNCHEON Dietary Alert

Please let us know if you have any food allergies that are not listed

Golf Tournament(Required)

Join us for the Saturday morning golf tournament at the beautiful Port Royal Golf Club. Golf tournament is a 4-person scramble with a shot gun start beginning promptly at 10:00am. You must arrive to the course no later than 9:00am .Golf cart is included. Rain or Shine! Limited space available. Cost is $70 per person.

Foursome Request

Please let us know the names of your members if you already have a foursome for the tournament or if there is someone you want on your team. If not, that’s okay. We will be happy to place you with one.

Scholarships(Required)

Would you like to donate a scholarship to someone in need? Scholarships are sold at our at the door price of $45 each.

7th Tradition Donations(Required)

Would you like to donate to the 7th Tradition virtual basket?

Billing and Payment

Billing Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Total

Payment(Required)

Card Details

Cardholder Name

Quantity

Registration Form

2025 Registration Form

2025 Hilton Head Mid-Winter Conference Registration Form

Conference Add-Ons

Billing and Payment

Contact Info

[email protected]