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Welcome to the District 1 2021 Fall Regional

Head Of Household * 🛈

*Head of household is the senior LPA member.

Current LPA Member?
Head of Household must be a current member of the Little People of America. If HOH is not a memeber or membership is not current, an additional registration fee of $55.00 will be charged for 1 year membership in the LPA. *

Member

Non Member

First Name *

Last Name *

The District One Spring Regional is being held March 27^th through the 29^th at the Providence Mariott Downtown in Providence, RI. The LPA Rate is $139 per night, please register by the link below. As you will see the registration cost are more expensive then previous years. The reason for this is the cost of bring world class doctors that specialize in dwarfism.

Book hotel by February 14th

Reservation deadline: February 28th

Registration Fee Schedule
Family	$75.00 ( $80 onsite )
Single	$30 ( $40 onsite )
Guests	$10

Event Schedule

Friday	4 - 7pm Regional Registration - Lobby 7 - 9pm Trivia - (Paid event) 8 - 10pm Teen Pool Party Free Party and Game Room
Saturday	8 - 10am Regional Registration 8 - 12:30pm Children's Room - Ballroom 815am-9:00am Dr. Mackenzie Mutations of FGFR3 9:05am -9:45am Dr. Campbell Hydrocephalus and Upper Cervical Issues- 9:50am -1035am Dr. Bober Understanding the Basic Principles of Research 10:45am-12:00pm Parents Meeting Doctors 12:00pm - Lunch on your own 1:00-430pm Doctor Appointments 6:30 - 8pm Dinner w/raffes - Ballroom 8:00- 11pm Dancing - Ballroom
Sunday	9 - 11am General Assembly with breakfast - Ballroom

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Registration *

Family $75.00

Single $30.00

Number of Family Members Attending ?
$75.00 Family
*

Single $30.00
*

Family Member 1:

Kids Room #1

Yes $5

Family Member 2:

Kids Room #2

Yes $5

Family Member 3:

Kids Room #3

Yes $5

Family Member 4:

Kids Room #4

Yes $5

Family Member 5:

Kids Room #5

Yes $5

Family Member 6:

Kids Room #6

Yes $5

Family Member 7:

Kids Room #7

Yes $5

Friend / Guest Attendees

Please register any non-LPA guests you are bringing.

Number of Guests Attending? ($10.00 each)
*

Guest 1 Name: *

Guest Kids Room #1

Yes

Guest 2 Name: *

Guest Kids Room #2

Yes

Guest 3 Name: *

Guest Kids Room #3

Yes

Guest 4 Name: *

Guest Kids Room #4

Yes

Friday

Pool Party (free): * 🛈

Trivia ( $15 each )

Trivia *

Saturday

Kids' Room ( $5 each )

Kids Room age (0 -2) *

Kids Room age (3 -5) *

Kids Room age ( 6-10 ) *

Parent Meeting

Doctors Registration form: Complete this form and Send Mary.Little@nemours.org

The medical consultation has very limitted spots. People who don't see these doctors will be taken first and all other spots (if any) will be given to people who do see them.

Medical Consultation Form

Saturday Banquet (6:30 - 11pm )

Kids meal ($30.00) Adult Meal ($50.00)

Adult Meal

Federal Hill

Minestrone Soup

Individual heart of Romaine caesar salad with garlic bread chards

Parmesan Focaccia

Antipasto consisting of: grilled eggplant, raosted red peppers, marinated mushrooms, olives, and artichoke.

Tomato and fresh mozzarella salad, basil vinaigrette

Italian Ham, balsmic onion and fontina cheese panili

Chianti braised boneless chicken thighs, peppers, onions, and tomatoes

Braised beef ravioli,garlic, mushroom, and cherry tomatoes

Garlic & rosemary oven roasted vegetables

Locally made assorted Italian cookies, biscotti, and cannoli

Kids Meal

Kids meal is in the works. We will have a special Italian dish for the kids on a seperate buffet

Kid Meal # *

Adult Meal *

Dance Only *

Saturday Dance Only ( $10 ) Entrance start at 8 pm

Raffle Sheet 10 $1.00 raffle tickets for $10.00

Raffle Sheet *

Optional Raffle Item Description and est. value Request $10.00 minimum value

Sunday Morning Breakfast

Sunday Breakfast Menu:

scrambled eggs, crisp bacon, sausage Patties,

seasoned breakfast potatoes with green peppers,

red peppers and onions.
Bagels and cream cheese
Muffins and danishes

Adults: $25.00

Kids (0-12): $15.00

Adult Breakfast: *

Kid Breakfast: *

Please Consider a contribution to help offset the expense of the regional.
Any amount will be appreciated. *

Current Total:

$0.00

Additional Comments / Questions

Amy D'Avia - Director

Little People of America District One

Massachusetts, Connecticut, Rhode Island, New Hampshire, Maine, and Vermont

lpa.districtone@gmail.com

http://lpadistraict1.org

Author: Cory Cartwright 2019