Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Contact Information - Step 1 of 3Title *Mr.Ms.Mrs.Dr.Name *FirstMiddleLastMailing Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail *EmailConfirm EmailPhone Number *Emergency ContactEmergency Contact Name *FirstLastEmergency Contact Phone Number *NextRegistree InformationI am a: *BVA MemberBVA Auxiliary MemberNon-MemberMember InformationDistrict # *District 1District 2District 3District 4Regional Group *Alabama Regional GroupAlabama Regional GroupArkansas Regional GroupCape Cod & Islands Regional GroupCarolina Regional GroupCharles Register Regional GroupEmerald Coast Regional GroupFlorida Regional GroupForward Wisconsin Regional GroupGEM State Regional GroupGeorgia Regional GroupGreater Houston Regional GroupHeartland Regional GroupIllinois Regional GroupIndiana Regional GroupLouisiana / Mississippi Regional GroupMichigan Regional GroupMid-Atlantic Regional GroupMidwest North Regional GroupNew Hampshire Regional GroupNew Jersey Regional GroupNew Mexico Regional GroupNew York Regional GroupOhio Regional GroupOklahoma Regional GroupPennsylvania Regional GroupPuerto Rico Regional GroupRhode Island & Southeastern Massachusetts Regional GroupRocky Mountain Regional GroupSan Diego Regional GroupSouth Texas Regional GroupSouthern California Regional GroupSouthern Nevada Regional GroupSpokane Inland Empire Regional GroupTennessee Regional GroupUtah Regional GroupWashington Regional GroupService Dog InformationWill you be bringing a service dog? *YesNoWhat is the service dog's name? *LayoutDo you have any dietary restrictions? *YesNoPlease list your dietary restriction(s) *Please select your t-shirt size: *SSMLL TallXLXL TallXXLXXL Tall3XL3XL Tall4XL4XL Tall5XL5XL TallGuest InformationNumber of guests: *0 Guests - $0.001 Guest - $150.002 Guests - $300.003 Guests - $450.004 Guests - $600.005 Guests - $750.00Guest 1Guest 1 Name *FirstLastGuest 1Guest 1 Email *Guest 1 is a: *BVA MemberBVA Auxiliary MemberNon-MemberPlease select Guest 1's t-shirt size: *SSMLL TallXLXL TallXXLXXL Tall3XL3XL Tall4XL4XL Tall5XL5XL TallGuest 1's Dietary Restrictions (if any):Will Guest 1 be bringing a service dog? *YesNoWhat is Guest 1's service dog's name? *Guest 2Guest 2 Name *FirstLastGuest 2Guest 2 Email *Guest 2 is a: *BVA MemberBVA Auxiliary MemberNon-MemberPlease select Guest 2's t-shirt size: *SSMLL TallXLXL TallXXLXXL Tall3XL3XL Tall4XL4XL Tall5XL5XL TallGuest 2's Dietary Restrictions (if any):Will Guest 2 be bringing a service dog? *YesNoWhat is Guest 2's service dog's name? *Guest 3Guest 3 Name *FirstLastGuest 3Guest 3 Email *Guest 3 is a: *BVA MemberBVA Auxiliary MemberNon-MemberPlease select Guest 3's t-shirt size: *SSMLL TallXLXL TallXXLXXL Tall3XL3XL Tall4XL4XL Tall5XL5XL TallGuest 3's Dietary Restrictions (if any):Will Guest 3 be bringing a service dog? *YesNoWhat is Guest 3's service dog's name? *Guest 4Guest 4 Name *FirstLastGuest 4Guest 4 Email *Guest 4 is a: *BVA MemberBVA Auxiliary MemberNon-MemberPlease select Guest 4's t-shirt size: *SSMLL TallXLXL TallXXLXXL Tall3XL3XL Tall4XL4XL Tall5XL5XL TallGuest 4's Dietary Restrictions (if any):Will Guest 4 be bringing a service dog? *YesNoWhat is Guest 4's service dog's name? *Guest 5Guest 5 Name *FirstLastGuest 5Guest 5 Email *Guest 5 is a: *BVA MemberBVA Auxiliary MemberNon-MemberPlease select Guest 5's t-shirt size: *SSMLL TallXLXL TallXXLXXL Tall3XL3XL Tall4XL4XL Tall5XL5XL TallGuest 5's Dietary Restrictions (if any):Will Guest 5 be bringing a service dog? *YesNoWhat is Guest 5's service dog's name? *BackNextUpdating preview…Please review the information you entered before proceeding to payment.Total Order Summary Item Quantity Total There are no products selected. I am a: - BVA Member1$150.00I am a: - BVA Auxiliary Member1$150.00I am a: - Non-Member1$150.00Number of guests: - 0 Guests1$0.00Number of guests: - 1 Guest1$150.00Number of guests: - 2 Guests1$300.00Number of guests: - 3 Guests1$450.00Number of guests: - 4 Guests1$600.00Number of guests: - 5 Guests1$750.00Total$0.00 $0.00BackSubmit
