2026 Registration Form 2026 Hilton Head Mid-Winter Conference Registration FormName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Email(Required) Enter Email Confirm Email Conference Ticket(Required)Please choose your fellowshipAlcoholics AnonymousAl-AnonHome GroupPlease enter the name of your home group or type (none) if you do not wish to have your home group displayed on your badgeConference Add-OnsBelow 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 aloneBANQUET(Required)SOLD OUTNONEBANQUET Options(Required)Please choose your entreeCHICKEN BREASTPASTA BOLOGNESEVEGETARIANVEGANGLUTEN FREEDAIRY FREEBANQUET Dietary AlertPlease let us know if you have any food allergies that are not listedALANON LUNCHEON(Required)SOLD OUTNONEALANON LUNCHEON Options(Required)Join us Saturday afternoon for a delicious catered meal and with our Al-Anon speaker. Cost is $30 per person. Space is limited.GRILLED TURKEY SANDWICH & TOMATO BISQUESPINACH WRAP W/ ROASTED VEGETABLES & TOMATO BISQUEVEGETARIANVEGANGLUTEN FREEDAIRY FREEALANON LUNCHEON Dietary AlertPlease let us know if you have any food allergies that are not listedGolf 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 $68 per person.NONE(1) GOLF TOURNAMENT (5 items remaining)Foursome Request (or request to play with someone else)Please let us know the names of your 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 $50 each. NO SCHOLARSHIP(1) Scholarship(2) Scholarships(3) Scholarships(4) Scholarships7th Tradition Donations(Required)Would you like to donate to the 7th Tradition virtual basket?NO 7TH TRADITION$1.00$2.00$5.00$10.00Billing and PaymentBilling Address(Required) Same as previous Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Total Payment(Required)