NHLBCC 2016 LONG ISLAND, NEW YORK AUGUST 12 14, 2016 HYATT REGENCY LONG ISLAND. Page 1 of 17

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1 AUGUST 12 14, 2016 HYATT REGENCY LONG ISLAND Page 1 of 17

2 NHLBCC 2016 August 12-14, 2016 Hauppauge, New York On behalf of the members of the New York Islanders Booster Club, we cannot wait to see you on Long Island next August for the 46 th Annual NHL Booster Club Convention. We want to provide you with a great week of fun, frivolity, and friendship and celebrating the game that we love so much. About Long Island Long Island New York is the largest island adjoining the contiguous United States, extending approximately 118 miles east-northeast from the mouth of the Hudson River. It is separated from the mainland on the north by the Long Island Sound and bounded by the Atlantic Ocean on the south and east. Twenty miles at its widest point, Long Island is composed of low plateaus on the north, longitudinal ridges of glacial moraine through the central parts of the island, and gently sloping plains to the south. The East End of the island is made up of two forks. The North Fork is approximately 28 miles long, the southern - terminating at Montauk Point - is about 44 miles in length. Peconic and Gardiners Bays separate the two forks and are where Shelter Island and Gardiners Island are located. Totaling 1,377 square miles of land area, Long Island New York is divided into four counties: Kings (Brooklyn), Queens, Nassau, and Suffolk. Suffolk is the easternmost and by far the largest of the four, covering an expanse of 911 square miles. Following Suffolk is Nassau with 287 square miles, Queens County with 109, and Kings with 70 square miles, the westernmost County. Kings and Queens Counties (Brooklyn and Queens) border each other and fall within the jurisdiction of New York City. Many people in the New York metropolitan area (even those on the island in Queens and Brooklyn) use the term "Long Island" or "the island" to refer to Nassau and Suffolk counties only. Convention Info Your registration fee covers your hotel for Friday and Saturday nights, dinner Friday and Saturday, breakfast Saturday and Sunday, the annual meeting on Saturday morning, your arrival package and use of the hospitality rooms during posted hours. Pre-convention activities will include transportation, admission fees, meals (when indicated), and driver gratuities. All trips will be filled by reservation on a first-come, first-served basis. We cannot guarantee refunds on any of the pre-convention trips unless we can find a replacement to fill the spot. If not, any refund will be based on monies recovered from the attractions; however, the price of the bus will be passed onto the person who did not attend the trip. All trips will leave at the posted times, and if you miss the bus, we will not delay the trip for you. You will be responsible for your return trip to the hotel, should you miss a bus returning to the hotel. If there is an increase in a trip due to rising fuel costs, we reserve the right to charge an additional amount to cover those costs. Your orange ID badge, or the Silver and Blue Convention bracelet must be worn at all times while attending any NHLBCC function, including visits to the hospitality rooms during posted hours. The legal drinking age in the state of New York is 21. Per NHLBCC bylaws, no one younger than that age will be permitted in a hospitality room while alcohol is being consumed. Page 2 of 17

3 Updated information on the 2016 Convention and downloadable forms will be available on the Convention website at This site will be live around the middle of December The appropriate and Facebook groups will also be notified of any news. Please contact us with any questions: Gary Harding (631) Our Home for Convention Weekend Hyatt Regency Long Island 1717 Motor Parkway Hauppauge, NY (631) Website: Discover the hidden gem of Long Island hotels at our resort-like retreat in Hauppauge, New York. Casual, comfortable and contemporary, Hyatt Regency Long Island is a trendy hotel that offers an escape from NYC while still near the heart of the action. From our location off the Long Island Expressway (I-495), you can tour charming wineries, kick back on Jones Beach, and explore the Hamptons. Bring your clubs and play a round at our 18-hole championship golf course. Enjoy a game of tennis on our lighted courts, or take a dip in our indoor and outdoor pools. You ll find sumptuous cuisine no farther than our hotel lobby. One of Long island s top hotel restaurants, Nu Restaurant serves creative regional cuisine in a trendy atmosphere. When it s time to meet and get down to business, reserve the perfect venue, menu, and itinerary that suits your needs. We offer over 17,000 square feet of state-of-the-art function space and catering services that are second to none. The Hyatt Regency Long Island offers 358 spacious elegantly styled guestrooms. All rooms feature in room refrigerators, 46 LCD TV s, hair dryers, irons and ironing boards, complimentary Starbucks coffee daily with coffee makers, newspaper, electronic lock entry system and valet services. Complimentary wireless Internet in guestrooms and lobby Indoor and Outdoor Swimming Pool Complimentary onsite workout facility Basketball, Volleyball and Tennis Courts Business center Page 3 of 17

4 Parking is free to all hotel guests. If you require a handicap access room, please note that on your registration form when sending your first deposit, so we can let the hotel know about your request as early as possible. There is so much to see and do on Long Island. With the potential of many people with vehicles, there are many places to see and visit within minutes from the hotel. We invite you to explore the Island that we Islanders call home. Visit for an extensive list of things to do and places to see. The concierge desk in the hotel lobby is available 7 days a week to help you plan your outings, book tours, buy tickets and make restaurant reservations. We will also have an information table in our registration room/ hospitality suite to assist you in planning a little exploring on your own. Transportation to Hauppauge Long Island MacArthur Airport (ISP) is about 7 miles from the Hyatt. MacArthur Airport has South West Airlines (via Baltimore and Florida cities) and American Eagle (from Philadelphia). If you make your reservations via South West, you may not see flights from your location to Long Island. You may have to contact South West via phone (800) IFLYSWA. You will get the Wanna Fly Away rate via phone reservations. American Airlines offers a few flights a day from Philadelphia to Islip. The hotel has a shuttle service to and from the airport, which runs every minutes. Taxi fare is currently approximately $20 one way. If you wish to rent a car, there are plenty of rental cars available at the airport. There is also an Enterprise Rent-A-Car on the hotel premises. We will send information later in the year, should you need to acquire a vehicle during your stay. Any special assistance at the airport can be arranged with us in advance. An alternative airport is JFK International Airport (JFK). JFK has many choices of airlines and destinations. JFK is about 49 miles from the Hyatt. To get to the Hyatt, we suggest for you to take the AIR TRAIN, which circles the terminals at the Airport, and then heads north to the Jamaica LIRR station. When debarking, you pay a $5.00 fee. Just past the turnstiles, you can purchase a One-way ticket to the Ronkonkoma station. If you are departing from 4PM to 8PM you need to get a Peak ticket, which at the time of this package, costs $ Any other time of the day, it is an Off-Peak ticket, which costs $ The train takes a little over an hour to arrive at Ronkonkoma. You will be able to pick up a shuttle van at the train station. Vans arrive every minutes. Lastly, there is LaGuardia Airport (LGA). There is no shuttle service yet from the airport. However, you can take a NYC bus (Q70) from any of the terminals to the Woodside LIRR station (61 st Street/Woodside). This will take about minutes at the most. Take the elevator to the LIRR ticket area. You will need to purchase a One-way ticket to the Ronkonkoma station. If you are departing from 4PM to 8PM you need to get a Peak ticket, which at the time of this package, costs $ Any other time of the day, it is an Off-Peak ticket, which costs $ The train takes a little about an hour and 15 minutes to arrive at Ronkonkoma. You will be able to pick up a shuttle van at the train station. Vans arrive every minutes. If you decide to take Amtrak, you will arrive at Penn Station in New York City. Follow the signs for the Long Island Rail Road. Purchase a ticket to Ronkonkoma ($18.25 Peak and $13.25 Off Peak). When we get closer to the convention, we will provide phone numbers and information for Shuttle service to the hotel. Page 4 of 17

5 Most major car rental companies are located at the airport; however, we think you will find a need for a vehicle very small once you have arrived. Links to transportation information: MacArthur Airport: LaGuardia Airport: JFK Airport: Amtrak trains: Greyhound Bus: Driving to Hauppauge From South (without going through NYC) I-95 North to the New Jersey Turnpike. Take exit 13 (Goethals Bridge) to Staten Island (via I-278). Take I-278 to the Verrazano Narrows Bridge. Follow signs to the Belt Parkway. Pass JFK Airport and continue East to Southern State Parkway (left hand exit). Southern State Parkway to exit 41A left lane the Sagtikos Parkway North. Sagtikos Parkway North to exit S1E Long Island Expressway (495) East to Exit 57 (Veterans Memorial Highway). Turn left at the light onto Motor Parkway. Continue on Motor Parkway and the hotel is on the left. From South - I-95 North to the New Jersey Turnpike. New Jersey turnpike to the Lincoln Tunnel Exit (17). Merge onto NJ-495 East. Merge onto I-495 East. Stay straight to go onto Dyer Avenue. Turn left onto W. 34th Street. Turn left onto Tunnel Approach Street/Queens Midtown Tunnel Approach/I-495 East. Take the Queens Midtown Tunnel ramp. Merge onto I-495 East (Long Island Expressway). Long Island Expressway (495) East to Exit 57 (Veterans Memorial Highway). Turn left at the light onto Motor Parkway. Continue on Motor Parkway and the hotel is on the left. From North - I-95 South to I-695 South via Exit 7A on the left toward I-295/ Throgs Neck Bridge/Long Island. I-695 South becomes I-295 South. Go over the Throgs Neck Bridge and take the Cross Island Parkway exit toward Eastern Long Island. Merge onto the Long Island Expressway (495) East via exit 30E. Long Island Expressway (495) East to Exit 57 (Veterans Memorial Highway). Turn left at the light onto Motor Parkway. Continue on Motor Parkway and the hotel is on the left. Page 5 of 17

6 CONVENTION PACKAGE COSTS The convention package prices are as follows and include hotel accommodations for Friday and Saturday nights, dinner/dance on Friday, dinner/dance on Saturday, and breakfast on Saturday and Sunday mornings. Single $ 570 per person (US Funds) Double $ 410 per person (US Funds) Triple: $ 370 per person (US Funds) Quad: $ 340 per person (US Funds) Children under 16, staying with parents: $175 per child (US Funds) EXTRA NIGHTS The extra room rate is $139 plus tax per night, for stays beginning Sunday (8/4) through Thursday (8/8) and Sunday (8/11). Please reserve your room early through your registration form so we can make sure of availability. Instructions for guaranteeing room reservation for early arrivals or those staying over a day or two will be made available at a later date. The current sales and room tax rate is xx%. CANCELLATIONS AND REFUNDS We understand unforeseen circumstances might prevent you from attending at the last minute. We cannot guarantee refunds for cancellations. All refund requests will be considered based on what funds are recoverable from the hotel or events, if any. Your original deposit and the cost of the trips that we cannot recover will not be refundable. Please be sure to notify us as soon as you know, so we can try to fill the spot. We will let you know after the convention about your refund. PAYMENT SCHEDULE First Payment: $100 deposit due: 1/15/2016 Second Payment: $100 plus preconvention trips due: 2/15/2016 Third Payment: $100 payment due: 4/1/2016 Fourth Payment: Remaining balance due: 5/1/2016 Please send your payment and forms to your club convention coordinator, who in turn will send us one payment check from the club account along with the forms. All amounts due are in U.S. funds. Coordinators: Please make all club checks payable to: NHLBCC 2016 LONG ISLAND. Mail to: Gary Harding NHLBCC 2016 Long Island c/o New York Islanders Booster Club PO Box 2146 Huntington, NY Page 6 of 17

7 EARLY PAYMENT INCENTIVE CONTEST Anyone that has hosted a convention knows the struggles of having to get payments out early in the year, before any money comes in. We are in the same boat, however, we came up with an idea that should help and give everyone a chance to get something in return. If you are able to send your first payment in on time, you will be entered into a drawing. The following prizes will be awarded to two random winners: (We must receive payment from your club coordinator by Jan 30 th ) The cost of a trip covered by the NHLBCC 2016 Convention ½ of the cost of a trip covered by the NHLBC 2016 Convention Anyone with questions on this, can me (Gary.Harding@nhlbcc2016.com) for more information. NHLBCC2016.com The NHLBCC 2016 Convention Web site. This site will be live sometime in December If you do not have Facebook, this will be the place to get the latest convention information. The site will provide: Trip Information (updates as they become available) Other sites to see on Long Island if you have your own transportation Restaurants/ Shopping in the area Keep checking for this site to be available, soon 2016 Convention Mailing List If you wish to be on our mailing list to receive the latest updates, send a note to Updates@nhlbcc2016.com. Please put the words Mailing List in your Subject. Thanks! 2016 CAMP NHLBC T-Shirts As always, it would not be convention without the St. Louis Camp T-Shirt. Please be sure to check out the nhlbcc2016.com web site to get the form. Page 7 of 17

8 PRE-CONVENTION ACTIVITIES Some tour prices are still in negotiations, but we wanted to give you a schedule now to assist you in planning your arrival date. We will publish the prices as soon as possible, on the Facebook page, as well as our web site. Monday, Aug. 8 Montauk Point Day trip - 8:00am appx. 6:00pm $95 It s MONTAUK MONDAY!!!! We will be traveling to the furthest point on the South Shore of Long Island through a string of picturesque villages (The Hamptons) and historic windmills to the Montauk Point Lighthouse Museum and Gift Shop. The Lighthouse is the region s most famous icon. This National Historic Landmark, commissioned by George Washington in 1792, played a significant role in American maritime history. Overlooking the Atlantic Ocean, it was the first lighthouse in New York State and is the fourth oldest active lighthouse in the United States. You will tour the lighthouse and have the opportunity to climb the 137 steps up the spiral staircase, 86 feet high to the lantern. (Not mandatory) The Museum displays an assortment of many historical documents and photographs. Lunch is included at a local waterfront eatery. As we head back to the Hotel, time permitting, we may make other stops! Long Island Ducks Baseball - night 5:00 pm 11:00 PM $15? + Transportation The Long Island Ducks of the Independent Atlantic League, play their games about 15 minutes from the hotel at Bethpage Ball Park. One of the most successful teams in Minor League baseball, the Ducks have had nearly seven million fans come through the turnstiles since their inception in The Ducks will be taking on the Somerset Patriots, the defending Atlantic League Champions in a 6:35 PM first pitch. The cost is dependent on the number of people interested and transportation. Page 8 of 17

9 Tuesday, Aug. 9 NHLBCC 2016 LONG ISLAND, NEW YORK 9-11 Trip 8:00AM 6:30PM $70 The 9/11 Memorial honors nearly 3000 victims and those who risked their own lives to save others. It is a testament to the triumph of human dignity over human depravity as well as an affirmation of unwavering commitment to the fundamental value of human life. The Museum s 110,000 square feet of exhibition space is located within the archaeological heart of the World Trade Center site-telling the story of 9/11 through multimedia displays, archives, narratives and collection of monumental and authentic artifacts. The lives of every victim of the 2001 and 1993 attacks will be commemorated as visitors have the opportunity to learn about the men, women, and children who died. You will be able to walk through the Memorial Plaza which includes the Memorial Pools and Names Parapets. The Pools are the waterfall mechanisms located in the footprints of the original World Trade Center Towers. The Parapets are bronze panels which surround the Memorial Pools that contain the names of all those who died as a result of the terrorist attacks on September 11, 2001 and February 26, Following the Memorial, we will be taken for lunch on your own in Little Italy for your choice of Restaurants and Shopping and more on the narrow cobblestoned streets. Sample coal brick oven pizza, a hearty glass of Chianti, a zeppole or cannoli. You ll find it all!!! Obviously, this tour requires considerable walking, but is wheelchair accessible. Page 9 of 17

10 New York Mets Baseball 4:00 PM 11:00 PM TBD The Mets will be taking on the Arizona Diamondbacks at 7:10 PM first pitch. Citi Field features unprecedented amenities and comfort for Mets Fans and visitors to the New York Metropolitan area. The exterior facade and main entry rotunda is inspired by Ebbets Field of old Brooklyn Dodger lore. As you enter the Jackie Robinson Rotunda you will have a photo opportunity with a 9 - foot sculpture of Robinson s retired number 42! The Mets Hall of Fame & Museum is located adjacent to the rotunda on the first base side, and is a spectacular attraction for all generations of Mets fans. It features artifacts from special Mets moments, interactive kiosks that allow fans to scroll through memory lane, and highlight videos celebrating the Mets biggest feats. Make sure you see the 1969 and 1986 World Series trophies and plaques for each member of the Mets Hall of Fame. We might be biased, but we really feel they hit a HOME RUN when they built this stadium. Wednesday, Aug. 10 Gold Coast Tour 9AM 4PM $85 The North Shore of Western Long Island was once known for its wealthiest families in America. These homes take you back to a world of elegance and unique architecture. Many of these Mansions have been settings for famous movies such as The Great Gatsby. F. Scott Fitzgerald both wrote and set his legendary 1925 literary classic on Nassau County s Gold Coast. We will only be able to take you to two of the many still out there. Sagamore Hill was the home of Theodore Roosevelt, 26 th President of the United States, from 1885 until his death in A private tour, takes you through the house, a rambling 23-room Victorian structure, stands on the top of the hill, separated by fields and belts of woodland from all other houses. During Roosevelt s time in office, his Summer White House was the focus of international attention. Explore the natural surroundings and become inspired by the legacy of one of America s most popular presidents. After a stop for lunch (included) you will be guided on an intimate look into the former summer home of William K. Vanderbilt II. Known to his family and friends as Willie K., he loved the oceans and the natural world. In his sea-going global travels. He collected fish and other marine life, birds, invertebrates and cultural artifacts for the personal museum he planned to build on his Long Island estate. Thousands of marine specimens are on display in Page 10 of 17

11 his own marine museum, the Hall of Fishes, opened in The Habitat with its nine wild-animal and marine-life dioramas were created by artisans from the American Museum of Natural History. Pub Crawl 6:00 PM 1:00 AM $25 We are taking you to the town of Patchogue where within a three block stretch, you ll have great choices of food and drink. From 9 types of meatballs at That Meetball Place to Bobbique a BBQ joint featuring blues, bourbon and beer. They are also known for their award winning ribs, pulled pork, wings and other Southern-style barbecue. (It IS the South Shore of Long Island!) Live music, 26 taps and 100 bottles of beer is also featured. Just to give you an idea of the variety of food and drink. Don t forget to check out The Village Idiot! Buses will return back to the hotel at 10:30 PM or 12:30 AM. Thursday, Aug. 11 As of now we are working on an event for this time. We will be providing this information as soon as it is available. Fire Island/Flynn s 5:00 PM 11:00 PM $90 Kick back and enjoy the summer breezes and magnificent sunsets on your way to this famous Fire Island landmark. The Moon Chaser will take you there and offers a fully equipped cash bar and soul soothing music for your cruising pleasure on the way to Flynn s. Dine right on the water at Flynn s, Fire Island s most famous restaurant. Sway to the music and enjoy the party atmosphere as you feast at their all you can eat buffet table featuring steak and seafood. After dinner, shed your shoes and take a walk to the beach or enjoy Flynn s famous frozen concoctions. Page 11 of 17

12 Friday, Aug. 12 North Fork Wineries Tour 8:30 AM 4:00 PM $85 Natural beauty, agricultural traditions and Colonial Heritage make the North Fork one of the most popular on Long Island. Enjoy the scenery along the way. First stop Greenport Village, rich in history and recently named one of the prettiest towns in the USA. Stroll the quaint streets and explore the shops including Sweet Indulgences it s all about the chocolate!!! Then it s on to Osprey Dominion Winery. Enjoy 3 tastings and explore the grounds and shopping opportunities. A picnic lunch will be provided on the grounds. Local beer and Homemade Sangria is available for purchase. Last, but not least, will be Baiting Hollow Farm and Vineyard, which is also home to Baiting Hollow Farm Horse Rescue, a sanctuary for equines whose lives were in danger and given a second chance. We will be treated to a private tour of the horse facility. An old farmhouse has been transformed into their Tasting House. The beautiful décor will mesmerize you and you will find it a warm and friendly place to shop and hang out. We will get you home with plenty of time to spare before Friday night partying begins! CONVENTION WEEKEND ACTIVITIES Friday, Aug. 12 WORLD CUP OF HOCKEY NIGHT! As a tribute to the upcoming World Cup of Hockey, we want you to come dressed in the colors of your favorite country (or your team should you not have a national jersey) to celebrate the game we love so much. Following a cocktail hour (cash bar), enjoy a tasty buffet dinner. After an appearance by a special guest for the evening, it will be time for you all to get your favorite Goal Dance on, and show all of your best moves. Saturday, Aug. 13 BREAKFAST/GENERAL MEETING Breakfast will be available between 8:00 9:30 a.m., followed immediately by the general meeting where each NHLBC club will give a short presentation about their activities during the past season and what is planned for next season. We will then get an update from our hosts for the 2017 convention (Los Angeles) and presentations from club(s) interested in hosting our 2018 gathering. Page 12 of 17

13 DELEGATES MEETING NHLBCC 2016 LONG ISLAND, NEW YORK The delegates meeting will begin approximately 30 minutes after the general meeting concludes. Lunch will be served to participants. CATHOLIC MASS Attendees will be given the opportunity to attend a Catholic Mass, either at the hotel or at a local church a few miles away. Arrangements will be published as they become available. DINNER PARTY GREAT GATSBY GALA We are going back in time to the roaring 1920 s when the Gold Coast of Long Island was the home of wealth and affluence. Dress as if you were back in the days where women were flappers and men looked like gangsters or wizards of Wall Street. (Please no machine guns!) F. Scott Fitzgerald s character, Jay Gatsby, would spend his weekends hosting elaborate galas open to all. Tonight please be Mr. Gatsby s guest, for a night of fun and frivolity, beginning with cocktails on the patio (weather permitting) and a sit-down dinner in the Ballroom. Dance the Charleston and more throughout the evening before the traditional closing. The gavel will be passed to Los Angeles as we look forward to 2017 on this final evening of the convention. (Make sure to mark your dinner choice on your application below ) SURVIVORS NIGHT Saturday festivities conclude with our annual Survivors night for those who don t want Convention to end. We ll keep you awake with games, activities and munchies until early morning! End with breakfast on Sunday morning, say your good byes and get some shut eye! Sunday, Aug. 14 BREAKFAST As the convention comes to a conclusion, we will wish all a safe journey home, and look forward to seeing you all next August in Los Angeles. Breakfast will be provided 7:00 AM 10:00 AM. Page 13 of 17

14 New York Mets Baseball 10:30 AM 5:00 PM TBD For those staying an extra day and who were unable to catch the Mets game on Tuesday, we want to give you another opportunity. See the National League Champs in action. as they take on the San Diego Padres in a 1:10 PM start. As soon as we know how many are interested, we will obtain tickets and transportation and determine the cost. VIEW OF LONG ISLAND Legend The lines denote the path from the airports (ISP, LGA, JFK) to the Hyatt Hotel. The LIRR station in Ronkonkoma will take you directly to the Hyatt. The trip locations that we will take are also provided on the map. (Unfortunately we will not be going to the Nassau Coliseum of Barclay s Center. They are provided on the map for informational purposes.) Page 14 of 17

15 Convention Registration Form This Form Must Be Completed by Each Attendee Personal Information Last Name: First Name: Gender: M / F Street Address: Apt/Unit Number: City, State/Province, Zip/Postal Code: Home Phone: ( ) Cell Phone: ( ) Club: Please list other Club Affiliations: Name for ID Badge: Number of Previous Conventions: Age on 08/01/2016 Emergency Contact Information (This must be someone not attending convention): Name Phone ( ) Arrival Information Arrival Date: Departure Date: Method of Travel: Flight Information (if applicable) Room Type (circle your choice) Single $570 Double $410 Triple $370 Quad $340 (All amounts in U.S. dollars.) Children age 16 and younger sharing with parent $175 each Do you need a roommate? Do you need a handicap accessible room? YES NO Are you in need of assistance or priority seating for bus transportation? YES NO Roommate Information Name: Club: Name: Club: Additional Information Saturday Dinner Choices (Circle One) Grilled Salmon Chicken Marsala Pasta Primavera Dietary Restrictions: Information for Program: Include All Omit Address Omit Phone Omit Cell Omit Page 15 of 17

16 LIABILITY WAIVER 46th ANNUAL NATIONAL HOCKEY LEAGUE BOOSTER CLUB CONVENTION HYATT REGENCY LONG ISLAND HAUPPAUGE, NEW YORK AUGUST 12-14, 2016 This Form Must Be Completed by Each Registrant 18 Years of Age or Older for Admittance I,, hereby accept any and all responsibility for my actions and the actions of others within my control. I also accept responsibility for my actions and the actions of others within my control arising out of any act or failure to act as a direct and proximate cause of my consumption of alcoholic beverages. I hereby absolve and hold without responsibility, the New York Islanders Booster Club and its board of directors, or any other social host and I accept full and complete responsibility for my actions and their results occasioned by my voluntary consumption of alcoholic beverages. I am the parent or guardian for the following minor(s) attending NHLBCC 2016: I accept responsibility for the actions and behavior of the above minor(s). I understand the legal drinking age in the state of New York is 21 years of age. Registrant s Signature: Witness: Date: Please submit this form along with Registration Form. Page 16 of 17

17 Convention Financials Check List This Form Must Be Completed by Each Attendee Personal Information Last Name: First Name: Club: Room Type (circle your choice) Single $570 Double $410 Triple $370 Quad $340 Trips (Circle if you wish to attend) Monday, August 8 MONTAUK MONDAY $90 LONG ISLAND DUCKS $15 + Tuesday, August MEMORIAL/LITTLE ITALY $70 NEW YORK METS TBD Wednesday, August 10 GOLD COAST TOUR $80 PUB CRAWL $25 Thursday, August 11 FIRE ISLAND/FLYNN S $90 Friday, August 12 NORTH FORK/WINERIES $85 Sunday, August 14 NEW YORK METS TOTAL OF ALL CIRCLED ITEMS TBD $ Page 17 of 17