YMCA Blue Ridge Assembly

Availability Form
* denotes required information
* This form is not to be used to register for conferences.
* Conference Name
* Sponsor
* Contact Person
* Projected Number of Guests
* Address
* Phone Number
Fax Number
Email
Dates in order of preference
Arrival			Departure
Month	Day	Year	Month	Day	Year
*1.
2.
3.
* First Meal			* Last Meal
BreakfastLunchSupper			BreakfastLunchSupper

* Please check availability in:
Buildings		Marketing will check availability and contact you
Cottages		Guest Services will check availability and contact you
Anything available		Building availability will be checked first
If you have an interest in programs check the box below and a program coordinator will contact you
Programs

The Fields with the * denotes required information. If you submit this form without filling the required fields you may recieve an error page. If this happens press the back button on your browser and complete the form.

YMCA Blue Ridge Assembly
84 Blue Ridge Circle
Black Mountain, North Carolina 28711
www.blueridgeassembly.org
828.669.8422