2023 Conference/Expo Attendee Registration 4th Annual Conference & Expo September 20-23, 2023 Hampton Roads Convention Center Hampton, Virginia Early Registration $60.00 After August 31st and on site $70.00 Download / Mail-in Registration 2023 Attendee Registration "*" indicates required fields Name* First Last Single Registration* Price: Registration Type*Early Bird Registration fees for Delegates, Aux., Members, & Guests 15 years old & up $60.00 each. $70.00 after August 31st.. VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. AVARS Aux. Email* Phone* Organization Type* VSFA Fire Department VSFA Auxiliary VAVRS Organization AVAVRS Auxiliary VSFA Fire DepartmentNEW Department NameAbingdon Vol. Fire Dept.Albemarle County Dept. of Fire RescueAlbemarle County Fire RescueAlberta Vol. Fire Dept.Aldie Vol. Fire Dept.Alexandria Fire DeptAltavista Vol. Fire Dept.Amherst County Public SafetyAmissville Fire & Rescue Co.Annandale V.F.DArlington County Fire DeptArlington No. 1Augusta County Fire/RescueAuxiliary to the Fairfax VFDBath County Power Station Fire TeamBedford County Fire & RescueBlacksburg Vol. Fire Dept.Blackstone Vol. Fire Dept.Boiling Springs Vol. Fire Dept.Bon Air Volunteer Fire Dept.Bowling Green Vol. Fire DepartmentBridgewater AuxiliaryBridgewater Fire Dept.Bristol VA Fire Dept.Buchanan Vol. Fire Dept.Buckroe Ladies AuxiliaryBuckroe Vol. Fire CompanyBuena Vista Fire Dept.Callao Vol. Fire Dept.Camp Peary Fire Dept.Caroline Fire and RescueCarrollton Vol. Fire Dept.Central King and Queen Vol. Fire Dept.Centreville Ladies AuxCentreville Vol. Fire Dept.Chancellor Vol. Fire Dept.Charles City Vol. Fire DepartmentCharlottesville Fire Dept.Charlottesville Volunteer Fire Co.Chase City Vol. Fire Dept.Cherrydale Vol. Fire Dept.Chesapeake Fire DeptChesterfield CountyChesterfield Fire & EMSChincoteague Vol. Fire Co., Inc.Christiansburg Vol. Fire Dept.Chuckatuck Vol. Fire DepartmentCity of Fairfax Fire Dept.City of PetersburgCity of PoquosonCity of PortsmouthCity of RoanokeClarence Center Fire Co.Clarendon VFDClifton Forge Rescue SquadClifton Forge Vol. Fire Co. AuxiliaryClifton Forge Vol. Fire Dept.Colonial Heights Fire/EMSColonial Heights Vol. Fire Dept.Congressional Fire Services InstituteCool Branch Vol. Fire Co. Inc.Copper Creek VFDCornerstone Admin systemsCourtland Vol. Fire Dept.Covington Vol. Fire Dept.Crewe VFDCulpeper County EMSCulpeper County Vol. Fire Dept.Cumberland Valley Vol Fire AssocDam Neck Fire RescueDanville Fire Dept.David Bailey Assoc.Davis Corner Vol. Fire Dept.Delaware Vol. Firefighter's Assoc.Delmarva AssociationDendron Vol. Fire Dept.DHS - FEMADisputantaDriver Vol. Fire Dept.DS and K Inc.Dumfries Triangle Rescue Squad, Inc.Dumfries-Triangle Vol. Fire DepartmentDunlap Ladies AuxiliaryDunlap Vol. Fire Dept.Dunn Loring Ladies Aux.DVFAEagle Engine Co. # 3Eagle Rock Vol. Fire Dept.Ebony Vol. Fire Dept.Elliston Fire Dept.Emergency Preparedness Div.Emergency Response Safety InstituteFairfield Vol. Fire Dept.Falling Springs VFDFalls Church Vol. Fire Dept. Co. 6Farmville Vol. Fire Dept.Fauquier County Dept. of FireFincastle Vol. Fire Dept.Ford Vol. Fire & EMSFort Lewis Vol. Fire Dept.Fort Valley Vol. Fire Dept.Fox Hill Ladies Aux.Fox Hill Vol. Fire Co.Fredericksburg Rescue SquadFredericksburg Vol. Fire Dept.Front Royal VFDGene Reams and AssociatesGladstone FireGloucester Vol. Fire DepartmentGoochland Co. VFD 6Goochland FireGrottoes Vol. Fire Dept.Halifax Fire CommissionHampton Fire DepartmentHampton Ladies AuxiliaryHampton PoliceHampton Vol. Fire CompanyHanover Fire-EMSHarrisonburg Fire Dept.Hartfield Vol. Fire Dept.Henrico County Div. Of FireHenrico Vol. Fire DepartmentHighland County Vol. Fire Dept.Holland Vol. Fire Dept.Hose Company #4Hot Springs Fire Dept.IndependentIron Gate Vol. Fire Dept.James City CountyJames City-Bruton Vol. Fire Dept.Kenbridge Vol. Fire Dept.Kernersville Fire Rescue Dept.Kerrs Creek Volunteer Fire DepartmentKilmarnock Vol. Fire Dept.King George Fire & RescueLangley Air Force BaseLincoln County Fire Marshall's OffLittle Fork VFDLogan Fire ApparatusLong Shop-McCoy Fire Dept.Loudoun County Fire RescueLower King and Queen Vol. Fire Dept.Luray Vol. Fire Dept.Lyn-Dan Heights VFDMadisonMadison County Vol. Fire Co.Manassas Park Fire & RescueManassas Vol. Fire Dept.Martinsville Vol. Fire Dept.Maryland State Firefighters Assoc.Mathews Vol. Fire Dept.McDowell Vol. Fire Dept.MeadWestvaco Fire BrigadeMedical Claims Assistance, Inc.Melfa Vol. Fire & Rescue Co., Inc,Millwood Station Fire & Rescue Co.Monelison Vol. Fire Dept.Mount Jackson Vol. Fire Dept.Mt. Pleasant Fire DepartmentNamozine Vol Fire & EMSNational Volunteer Fire CouncilNavy Regional Fire & Rescue ServiceNew ChurchNew Kent Vol. Fire CompanyNew Lexington Fire Eq.New Market Area Vol. Rescue SquadNew Market Vol. Fire Co. Inc.Newport News Emer. Mgmt.Newport News Fire Dept.Norfolk Fire Marshall's OfficeNorfolk Fire RescueNorfolk Ladies Aux.Northampton Vol. Fire CompanyNorthampton VFC Ladies AuxiliaryO.W.L Vol. Fire DepartmentOcean City VFCOnley Vol. Fire Dept.Orange Volunteer Fire Co.Pamplin VFD & EMSPetersburg Fire DeptPhoebus Vol. Fire CompanyPhoebus Vol. Ladies AuxiliaryPoquoson Vol. Fire DepartmentPoquoson Vol. Ladies AuxiliaryPoquoson Vol. Rescue SquadPortsmouth Fire Dept.Prince William CountyRadford Fire and RescueRead Mountain Fire & RescueRemington Vol. Fire & RescueRescue 51Richardsville VFD and Rescue SquadRichmond Co. VFDRichmond Dept. of FireRichmond Fire & Emer. ServicesRichmond Int'l Airport FDRiner Fire Dept.Roanoke County Fire Dept.Roanoke Fire Dept.Rockingham County Fire & RescueRustburg VFDSafe Air Systems, Inc.Salem Fire & EMS Dept.Salem Vol. Fire Dept.Selma VFD AuxiliarySelma Vol. Fire Dept.Seminole Trail Vol. Fire Dept.Sharon Vol. Fire Dept.South Boston Fire & EMSSouth Boston Fire Dept.South Hill Ladies Aux.South Hill Vol. Fire Dept. Inc.Southside Emergency CrewSmithfield Vol. Fire Dept.Spotsylvania VFD Company 4 Aux.Spotsylvania VFD Ladies Aux. Co. 1Spotsylvania Vol. Fire Dept.Spotsylvania Vol. RescueStafford Vol. Fire Dept.State Fire Marshall's OfficeState Ladies AuxiliaryStaunton Fire & RescueStaunton Ladies AuxiliaryStaunton Volunteer Fire DepartmentSterling RescueStewart Cooper Newell ArchitectsStrasburg Fire Dept. AuxiliaryStrasburg V. F. D.Stuarts Draft Vol. Fire Co.Suffolk Fire Dept.Tappahannock- Essex Vol. Fire Dept.Tidewater CommunicationsTimberville Fire Co.Troutville FDTwin Community VFDUpper Middlesex VFDVa. Dept. of CorrectionsVa. Dept. of ForestryVa. Office of Emergency Medical ServicesVAHMRSVDOTVerona Vol. Fire Dept.Vestal Fire Dept.Victoria Fire & RescueVienna Vol. Fire Dept.Vienna Vol. Fire Dept. Ladies Aux.Vinton Vol. Fire Dept.Virgilina Volunteer Fire AssociatesVirginia Beach Fire Dept.Virginia Department of Fire ProgramsVirginia Dept. of HealthVirginia Emergency Management Assoc.Virginia Fire Chief's Assoc.Virginia Fire Service CouncilVirginia Fire Services BoardVirginia National GuardVirginia Power Company, Bath CountyVirginia Public Safety FoundationVirginia Resources AuthorityVSFAWaterviewWaynesboro FDWest Point Vol. Fire Dept.Westmoreland Vol Fire Dept.Westrock Rescue SquadWestvaco Fire BrigadeWhaleyville Vol Fire Dept IncWhite Stone Vol. Fire Dept.Williamsburg FireWilson VFCWoodstock Fire Dept. Inc.Wythe Vol. Fire Rescue CompanyYork County Fire & Life SafetyZion Crossroads Fire Dept.NEW Department Name VSFA AuxiliaryNew Auxiliary NameIndividual MemberAbingdon District-Bena AuxiliaryArlington AuxiliaryBlacksburg AuxiliaryBuckroe AuxiliaryChristiansburg AuxiliaryFairfax AuxiliaryFalls Church AuxiliaryFarmville AuxiliaryFox Hill AuxiliaryGalax AuxiliaryHose Co. #4, Harrisonburg AuxiliaryMathews AuxiliaryPoquoson AuxiliaryRiner AuxiliarySouth Hill AuxiliarySpotsylvania #1 AuxiliarySpotsylvania #2 AuxiliarySpotsylvania #9 AuxiliaryStrasburg AuxiliaryTappahannock-Essex AuxiliaryVienna AuxiliaryNEW VSFA Auxiliary Name VAVRS OrganizationNEW Organization NameAbbott Nutrition ERTAbingdon Convalescent Ambulance Service IncAldie Volunteer Fire Department Inc.Altavista Volunteer Fire Company, Inc.Amelia Emergency Squad, IncAmerican Medical Response Mid-AtlanticAmherst County Public SafetyAmherst FDAmherst Life Saving & First Aid CrewAppomattox County Rescue SquadAppomattox Volunteer Fire DepartmentAquia Harbour Volunteer Rescue Squad, Inc.Ararat Volunteer Rescue Squad, Inc.Arcola VFDARI TransportationAshburn Volunteer Fire and RescueAshland Volunteer Rescue SquadAugusta Health Transportation ServicesAxton Life Saving CrewBachelors Hall VFDBack Creek Fire & RescueBassett Rescue Squad, Inc.Bath Community Ambulance ServiceBath Highland VFD & Burnsville First RespondersBaywood Search & Rescue Squad, Inc.Bedford County Dept Fire & RescueBensley-Bermuda Volunteer Rescue SquadBent Mountain First Aid and Rescue CrewBig Island Emergency CrewBig Stone Gap Rescue Squad, Inc.Blacksburg Volunteer Fire DepartmentBlacksburg Volunteer Rescue SquadBlairs Fire & RescueBland County Volunteer Rescue SquadBlue Ridge Volunteer Rescue SquadBoiling Springs Fire Dept, Inc/Rescue SquadBolar Volunteer Rescue SquadBoones Mill Rescue SquadBotetourt County Department of Fire & EMSBoyce Volunteer Fire Company, Inc.Boydton Life StationBrandy Station VFD IncBridgewater Volunteer Rescue SquadBristol Life Saving CrewBroadway Emergency SquadBrooke Fire Safety Association, Inc.Brosville Community Vol. Fire Dept. IncBrunswick Emergency Medical ServicesBuchanan Rescue SquadBuckingham County Firefighters Association, Inc.Buena Vista Fire DeptBuena Vista Rescue Squad, IncBurkeville VFDBWX Technologies Emergency TeamCallands F&RCallao Rescue Squad, Inc.Callao VFD IncCallaway Volunteer Rescue SquadCampbell County Rescue SquadCape Charles Rescue Service, Inc.Capron Volunteer Fire Dept & First Aid Squad Inc.Carilion Clinic Patient Transportation, LLCCarroll County Search & RescueCarson Volunteer Fire DeptCascade Community VFDCastlewood Fire & Rescue, IncCatlett VF & RC, Inc.Cave Spring Rescue Squad, Inc.Celanese Corporation - Celco Fire BrigadeCentra Paramedicine ServicesCentral Lifesaving & Rescue SquadCharles City Volunteer Fire Dept.Charlotte County RescueCharlottesville - Albemarle Rescue Squad, Inc.Chase City Rescue SquadChatham Rescue Squad, IncChildrens Hospital of the Kings DaughtersChristiansburg Rescue SquadChurchville Fire RescueCitizens Emergency Crew, Inc.Claremont vol fire deptClarke County Fire and EMSClearfork Volunteer Fire DepartmentCleveland Lifesaving Crew, Inc.Cleveland Vol Fire DeptClifton Forge Rescue SquadClover Hill Vol Fire Co IncCluster Springs Volunteer Fire DeptCode Blue Resources, LLCColonial Beach Volunteer Rescue SquadColonial Heights Fire & EMSConcord Rescue SquadCool Branch Volunteer Rescue Squad, IncCople District Fire RescueCovington Fire DepartmentCovington Rescue SquadCraig County Rescue Squad - EMSCulpeper County Rescue Squad, Inc.D19 TRANSPORTATION SERVICE INCDAD Volunteer Fire DepartmentDamascus Volunteer Fire DepartmentDamascus Volunteer Rescue SquadDante Rescue Squad, Inc.Danville Life Saving & First Aid Crew, Inc.Delta MedicaL Transport, IncDelta Response TeamDolphin Volunteer Fire DepartmentDooms VFDDry Fork Volunteer Fire DepartmentDunlap RescueDuPontEagle Rock Volunteer Fire RescueEast Hanover Volunteer Rescue SquadElk Creek Rescue SquadEssex Co EMSEttrick Matoaca Volunteer Rescue Squad, Inc.Faber Volunteer Fire DepartmentFairfield Volunteer Rescue SquadFairfields Volunteer Fire DepartmentFalling Spring Rescue Squad, Inc.Falling Spring VFDFarmville Volunteer Fire DepartmentFauquier County Fire and RescueFieldale Volunteer Fire CompanyFieldale-Collinsville Volunteer Rescue Squad, Inc.Flint Hill Volunteer Fire & Rescue Co, LLCFloyd Co Rescue Squad, IncFloyd County EMS, Inc.Forest Ambulance ServiceForest View Volunteer Rescue Squad, IncForrest Ambulance ServiceFranklin Co Dept of Public SafetyFranklin County Rescue SquadFredericksburg Rescue SquadFries Volunteer Fire Department IncG & W Ambulance, IncGalax-Grayson EMSGerdau EMSGiles Lifesaving and Rescue SquadGlade Hill Rescue SquadGlade Spring VFDGladstone Volunteer Fire and Rescue ServiceGladys VFD IncGlasgow Life Saving & First Aid Crew IncGlen Lyn Volunteer Fire and RescueGloucester Volunteer Fire and Rescue Squad, Inc.Goochland County Fire/Rescue VolunteerGoshen First Aid CrewGreater Manassas Volunteer Rescue SquadGreen Spring Volunteer Fire DepartmentGreensville County Volunteer Fire DepartmentGreensville Volunteer Rescue Squad, Inc.Greif EMSGretna Rescue Squad, Inc.Grottoes Rescue SquadHalifax County Rescue SquadHalifax Fire CommissionHamilton Volunteer Rescue SquadHampden-Sydney Volunteer Fire and RescueHanover Fire EMSHardy Life Saving & Rescue, IncHarrisonburg Rescue SquadHartwood Volunteer Firemens Assocation, IncHaysi Rescue Squad, Inc.Henry County Public SafetyHighland County Volunteer Fire DepartmentHighland County Volunteer Rescue Squad, Inc.Hollins Volunteer Fire & RescueHolly Grove Volunteer Rescue SquadHopewell Emergency CrewHorsepasture Volunteer Fire DepartmentHorsepasture Volunteer Rescue SquadHot Springs Rescue SquadHuddleston VLS and RHurt Volunteer Fire DepartmentIron Gate Volunteer Fire DepartmentIsle of Wight Volunteer Rescue SquadIvanhoe Volunteer Fire DepartmentIVOR Volunteer Rescue SquadJarratt Volunteer Fire DeptJeb Stuart VRSJewell Ridge VFDJonesville Rescue Squad IncKeokee Fire and RescueKilmarnock-Lancaster County VRSKing and Queen Volunteer Rescue SquadKing George Fire & Rescue Inc.KMT Medical Transport LLCLadysmith Volunteer Rescue SquadLake Anna Rescue Squad, IncLake Gaston VFDLake Jackson Volunteer Fire DepartmentLake Monticello Volunteer Rescue SquadLake of the Woods Volunteer Fire and Rescue Company, Inc.Lancaster County Emergency Medical ServicesLaurel Rescue SquadLawrenceville FireLead Mines Rescue SquadLebanon Fire DepartmentLebanon Lifesaving CrewLee County Rescue Squad, Thomas Walker UnitLexington Fire DeptLifeCare Medical Transports, Inc.Lifestar Ambulance Service IncLongshop McCoy Vol Fire Dept. & First Aid, Inc.Lord Fairfax EMS Council IncLoudoun County Volunteer Rescue SquadLouisa County Fire and EMSLouisa County Rescue Squad, Inc.Lovingston VFDLuray Volunteer Rescue SquadLyn-Dan Heights Volunteer Fire DepartmentM B Solutions, LLCMadison County EMSMadison County Rescue SquadManchester Volunteer Rescue Squad, IncMangohick VFDMarshall Volunteer Fire & Rescue DepartmentMattaponi Volunteer Rescue SquadMecklenburg Co Lifesaving & Rescue Squad, Inc.Medical Claims Assistance, Inc.Meherrin Volunteer Fire & Rescue, IncMelfa Volunteer Fire & Rescue Co., IncMetro Health EMSMid-County Volunteer Rescue SquadMiddlesex County Volunteer Rescue Squad, Inc.Millboro Area Rescue Squad, IncMillwood Station Volunteer Fire & Rescue Co. 21MMT AmbulanceMonelison Rescue SquadMoneta Rescue SquadMontgomery County Fire-EMS DepartmentMontvale Rescue SquadMount Cross VF & R Dept., Inc.Mount Hermon Volunteer Fire & Rescue Inc.Mount Solon Volunteer Fire & Rescue Squad, IncMountain View Volunteer Rescue SquadNamozine Volunteer Fire & EMS, IncNarrows Fire DepartmentNatural Bridge Volunteer Fire DepartmentNebo VFDNew Garden Rescue SquadNew Hope Volunteer Fire Department, IncNewport Volunteer Fire DepartmentNewport Volunteer Rescue Squad, IncNon Affiliated paying cash at classNon Affiliated pd cashNorth Halifax VFDNorth Mountain Fire and RescueNorthampton County Department of EMSNorthumberland County Volunteer Rescue SquadNorthwestern Emergency VehiclesNorton Rescue SquadNottoway County Emergency SquadOak Hall RescueOakwood Fire and RescuePage CountyPamplin Volunteer Fire Department and EMS, Inc.Pembroke VFDPenn CarePipers Gap Rescue SquadPittsylvania County Public SafetyPoplar Hill Volunteer Fire DepartmentPowhatan Volunteer Rescue Squad, IncPrater VRSPrince Edward Volunteer Rescue SquadPrince George Cty Fire & EMSPriority Patient Transport, Inc.Purcellville Volunteer Rescue SquadRadford Fire and EMSRapidan Volunteer Fire DepartmentRenan VFDReva Volunteer Fire & Rescue Co.Rice Volunteer Fire DepartmentRich Creek Vol. Fire Dept.Richardson Ambulance Service, LLCRichardsville VFD & Rescue Squad, IncRichlands Volunteer Rescue SquadRichmond County EMSRichmond Volunteer Rescue SquadRidgeway District Volunteer Rescue SquadRiner VRS IncRinggold Volunteer Fire & RescueRiverbend Volunteer Fire DepartmentRiverheads VFD IncRoanoke Emergency Medical Services, Inc.Rockbridge County Fire RescueRockfish Valley Volunteer Fire DepartmentRockhill Volunteer Rescue SquadRockingham County Fire & RescueRoseland Rescue SquadRugby VRS & FD IncRural Retreat Volunteer Emergency Service, Inc.Russell County Combined Search and RescueSalem Rescue SquadSalem VFD IncSaltville Rescue Squad, Inc.Sandbridge Volunteer Resque SquadScott County Lifesaving & First Aid Crew, Inc.Scruggs Volunteer Fire and RescueSelma VFDShady Grove Volunteer Fire & RescueSharon Volunteer Fire DepartmentShawsville Volunteer Rescue Squad, Inc.Shenandoah National ParkShenandoah Valley Airport ARFF DeptSingers Glen VRS IncSmith River Rescue SquadSnow Creek Rescue SquadSouth Hill Volunteer Fire DepartmentSouthhampton County Farm BureauSouthside Rescue Squad, Inc.Southside Va. Emergency CrewSpeedwell Volunteer Fire DepartmentSperryville Volunteer Rescue SquadSt. Paul Volunteer Fire DepartmentStanley Vol. Rescue SquadStanley Volunteer Fire DepartmentStar Tannery VFDStaunton Augusta Rescue SquadStaunton-Augusta First Aid & Rescue SquadSterling Park Volunteer Rescue Squad, IncStewartsville First Aid & RescueStony Creek Volunteer Rescue SquadStony Point Volunteer Fire CompanyStrasburg Volunteer Rescue Squad, Inc.Stuarts Draft Rescue Squad, IncStuarts Draft VFDSugar Grove Life Saving Crew, Inc.Surry Volunteer Rescue SquadSwoope Vol Fire Co IncTannersville Rescue SquadTown of Chilhowie FDTown of Saltville EMSTown of Tazewell EMSTransportation Operation LLC Mountain Tunnel Response TeamTrevilians Volunteer Fire DepartmentTroutdale Volunteer Fire Department & Rescue SquadTunstall Volunteer Fire & RescueUpper Craig Creek Volunteer Fire DepartmentUpper Lancaster Volunteer Rescue SquadUVA Health Culpeper Hospital Ambulance DepartmentValley Medical TransportValley Rescue SquadValley Volunteer Fire Dept., Inc.VAVRS StaffVerona Volunteer Fire CompanyVesta Rescue Squad, Inc.Vests Sales and Service Inc.Victoria Fire & Rescue, Inc.Vinton First Aid Crew, Inc.Virginia Beach Department of EMSVirginia Beach Rescue Sq FoundationVirginia Beach Volunteer Rescue SquadVirginia Military Institute EMS Agency - VMIVirginia Tech Rescue SquadWashington County Fire Rescue #1, Inc.Washington County Life Saving CrewWaverly Rescue Squad, Inc.Waynesboro First Aid CrewWest Hanover VRSWestern Albemarle Rescue Squad, Inc.Western Virginia EMS CouncilWestmoreland Cty Dept of EMSWestrock Rescue SquadWhite Oak Volunteer Rescue Squad, Inc.White Stone Volunteer Fire DepartmentWilson Volunteer Fire CompanyWintergreen Fire & RescueWise Rescue Squad IncWoodstock FDYokohama Industrial Rescue SquadNEW Organization Name AVAVRS AuxiliaryNew Auxiliary NameLife MemberBassett AuxiliaryBensley-Bermuda AuxiliaryBristol Crewettes/AuxiliaryBroadway AuxiliaryCampbell County AuxiliaryCastlewood AuxiliaryCave Spring AuxiliaryChristiansburg AuxiliaryCleveland AuxiliaryForest View AuxiliaryFounders Auxiliary(Clifton Forge)Franklin County AuxiliaryGreater Manassas AuxiliaryLexington AuxiliaryLoudoun AuxiliaryStaunton Augusta AuxiliaryWashington County Crewettes/AuxiliaryWaynesboro AuxiliaryNEW AVAVRS Auxiliary Name Hotel*Please provide the name of your hotel in case of emergency. How many additional people will you be registering?Early Registration Fee is $60.00 per person. Registration Fee after August 30th is $70.00No Additional People12345678910111213141516171819202122232425 Addt'l Attendee Name #1 Addt'l Attendee Email #1 Registration Type (#1) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #2 Addt'l Attendee Email #2 Registration Type (#2) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #3 Addt'l Attendee Email #3 Registration Type (#3) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #4 Addt'l Attendee Email #4 Registration Type (#4) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #5 Addt'l Attendee Email #5 Registration Type (#5) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #6 Addt'l Attendee Email #6 Registration Type (#6) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #7 Addt'l Attendee Email #7 Registration Type (#7) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #8 Addt'l Attendee Email #8 Registration Type (#8) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #9 Addt'l Attendee Email #9 Registration Type (#9) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #10 Addt'l Attendee Email #10 Registration Type (#10) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #11 Addt'l Attendee Email #11 Registration Type (#11) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #12 Addt'l Attendee Email #12 Registration Type (#12) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #13 Addt'l Attendee Email #13 Registration Type (#13) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #14 Addt'l Attendee Email #14 Registration Type (#14) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #15 Addt'l Attendee Email #15 Registration Type (#15) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #16 Addt'l Attendee Email #16 Registration Type (#16) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #17 Addt'l Attendee Email #17 Registration Type (#17) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #18 Addt'l Attendee Email #18 Registration Type (#18) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #19 Addt'l Attendee Email #19 Registration Type (#19) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #20 Addt'l Attendee Email #20 Registration Type (#20) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #21 Addt'l Attendee Email #21 Registration Type (#21) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #22 Addt'l Attendee Email #22 Registration Type (#22) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #23 Addt'l Attendee Email #23 Registration Type (#23) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #24 Addt'l Attendee Email #24 Registration Type (#24) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. Addt'l Attendee Name #25 Addt'l Attendee Email #25 Registration Type (#25) VSFA Delegate VAVRS Delegate VSFA Member VAVRS Member VSFA Guest VAVRS Guest VSFA Aux. VAVRS Aux. How many children will you be registering between age 6 - 15?None123456Plan to attend Children's Rescue Camp Yes No Discount Code (If one has been provided) Credit Card information required for all registrations REFUNDS: Requests for refunds must be received prior to September 6th. Administrative Fees will be deducted from refund. Total Payment Information Add new card Please review your information before clicking submit. Changes cannot be made after submitting your registration.CommentsThis field is for validation purposes and should be left unchanged.
