2027 Registration Form REGISTRATION FORM - Hilton Head Mid-Winter Conference January 29 - 31, 2027Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican 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 RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussian FederationRwandaSaint 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 TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Phone(Required)Email(Required) Enter Email Confirm Email Conference Ticket(Required)Please choose your fellowship AA AFG Home 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)The banquet will be held on Saturday 1/30/27 at 6:30pm in the Grand Ballroom. Cost is $55 per person. Entree choice includes water, iced tea, coffee, salad and dessert. NONE (1) BANQUET TICKET (154 items remaining) BANQUET Options(Required)Please choose your entree CHICKEN PASTA PRIMAVERA (VEGETARIAN) DIETARY ACCOMMODATIONS VEGAN GLUTEN FREE DAIRY FREE ALLERGY ALERTPlease let us know if you have any food allergies that are not listedALANON LUNCHEON(Required)The Alanon luncheon will be held Saturday 1/30/27 at 12:45pm. Join us Saturday afternoon for a delicious catered meal with our Al-Anon speaker. Cost is $40 per person. Entree choice includes water, iced tea, coffee and dessert NONE (1) LUNCHEON TICKET (36 items remaining) ALANON LUNCHEON Options(Required) CHICKEN CEASAR SALAD ROASTED VEGETABLE WRAP DIETARY ACCOMMODATIONS VEGAN GLUTEN FREE DAIRY FREE ALLERGY ALERTPlease let us know if you have any food allergies that are not listedGolf Tournament(Required)The golf tournament will be held on Saturday 1/30/27 at 10:00am at Port Royal Golf Course. Cost is $70 per person. NONE (1) GOLF TOURNAMENT (62 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. NONE (1) Scholarship (2) Scholarships (3) Scholarships 7th Tradition Donations(Required)Would you like to donate to the 7th Tradition virtual basket? NONE $1.00 $2.00 $5.00 $10.00 Billing and PaymentTotal Payment This field is hidden when viewing the formUntitled First Choice Second Choice Third Choice