IDEAS Conference Participant Registration Form

June 5 - 9, 2017 • Epworth By The Sea
Section 1: IDEAS Attendee Information
  Last Name:   First Name:
  Address:
  City:   State:     Zip Code:
  Phone:   Cell:
  Email:   Alternate Email:
  Agency or District:
  Arrival Date:   Departure Date:
Roommates Attending IDEAS:
Each person attending IDEAS in room MUST complete a separate form/roommate.
    Last Name:     First Name:
    Last Name:     First Name:
    Last Name:     First Name:
Family Members: Complete Section 3 and provide personal
Section 2: Room Selection
MEAL PLAN: The meal plan is included in the lodging fees and is required for all institute participants and their guests. No credit is given for missed meals. Participants and guests will be provided with name badges by the GaDOE which they must wear to all meals in the dining hall beginning with supper on your night of arrival and ending with lunch upon departure.

Links to Building Descriptions and Rates:

Turner Lodge
Number of Adults
No Tax Exemption Rate
Local Bed Tax Exemption Rate**
Local Bed and State Tax Exemption***
  1 adult per room
$162.66
$157.46
$147.48
  2 adults per room
$111.99
$108.89
$101.93
  3 adults per room
$ 93.96
$ 91.61
$ 85.72
  4 adults per room
$ 85.52
$ 83.52
$ 78.13


Robertson Inn / Reynolds Apartments
Number of Adults
No Tax Exemption Rate
Local Bed Tax Exemption Rate**
Local Bed and State Tax Exemption***
  1 adult per room
$ 151.19
$ 146.49
$ 137.23
  2 adults per room
$ 102.82
$ 100.12
$ 93.73
  3 adults per room
$ 82.89
$ 80.99
$ 76.50
  4 adults per room
$ 79.78
$ 78.03
$ 73.00


Pitts / Booth
Number of Adults
No Tax Exemption Rate
Local Bed Tax Exemption Rate**
Local Bed and State Tax Exemption***
  1 adult per room
$ 140.51
$ 136.61
$ 128.00
  2 adults per room
$ 95.94
$ 93.54
$ 87.58
  3 adults per room
$ 77.90
$ 76.25
$ 71.37
  4 adults per room
$ 75.19
$ 73.64
$ 68.90


Reynolds
Number of Adults
No Tax Exemption Rate
Local Bed Tax Exemption Rate**
Local Bed and State Tax Exemption***
  1 adult per room
$ 129.40
$ 125.65
$ 117.75
  2 adults per room
$ 86.77
$ 84.97
$ 79.38
  3 adults per room
$ 72.17
$ 70.92
$ 66.25
  4 adults per room
$ 69.46
$ 68.31
$ 63.78
  Special Requests (Ground Floor, food allergies, etc.)  
Section 3: Conference Attendee Cost Calculations
LODGING RATES: Tabulated rates (section 2, page 2) are based on total number of adults staying in the room.
Amounts are [rate x person(s) x night(s)]
Include lodging, meals, and applicable taxes. All applicable bed tax exemption forms must accompany reservation. Exemption form will not be accepted after check in. Purchase Orders will be accepted, but must be paid by May 9, 2017. Reservations for each motel are on a first come first serve basis, based on availability.
  1) Occupancy Rate (P. 2) *See instructions for # people   Per Night Rate: $ X   # People: = $
  2) Number of Nights:  
  3) TOTAL DUE: (multiply lines 1 and 2) $
Section 4: Payment Information For use only for school transactions
  Check Number (Make checks payable to Epworth By The Sea):  
  Purchase Order Number:  
  School Credit Card Number:  
  Name on Card:  
  MasterCard     Visa     Discover   Exp:         Code:
Section 5: Family/Guest Information:
Use this section only for Epworth Guests not attending conference.
Subsection A: Room Cost Calculations
  1) Occupancy Rate (P. 2) *See instructions for # people (always non-tax exempt/person rate)   Per Night Rate: $ X   # People: = $
  2) Additional Teen Guests (age 13-17)   Per Night Rate: $ 44.12 X   # Teens: = $
  3) Additional Child Guests (age 3-12)   Per Night Rate: $ 19.20 X   # Children: = $
  4) Subtotal Occupancy Cost (add lines 1, 2 and 3)             $
  5) Number of Nights:                
  6) Family Guest Total (multiply lines 4 and 5)             $
  7) Attendee Costs
    From Section 3 Line 3 if not paid on school account
            $
  8) Total Costs (add lines 6 & 7)             $
Subsection B: Family/Guest Payment Information For use only for personal transactions
  Check Number:
  (Make checks payable to Epworth By The Sea)
 
  Credit Card Number:  
  Name on Card:  
  MasterCard     Visa     Discover   Exp:         Code:
Section 6: Reservation Form Submission

Epworth By The Sea
Attn: Kelly Maloy
P. O. Box 20407
St. Simons Island, GA 31522
FAX: (912) 634-0642
Email: kmaloy@epworthbythesea.orgwww.epworthbythesea.org (Events)

Submit Form Tab is at the bottom of this page

Lodging Form Instructions
Section 1: IDEAS Attendee Information
Fill out contact information for conference attendee.

Roommates: List names of additional conference attendees sharing room with you. Each conference attendee must complete a separate lodging form.

Family Members and other guests not attending the conference will be registered in Section 5


Section 2: Room Selection and Rates
Reservations for each motel are on a first come first serve basis, based on availability.

*Rates are based on total number of adults staying in the room.

Rates are per person/night [rate x person(s) x night(s)] including lodging, meals, and applicable taxes. See below for tax exemption information and documentation.

Section 3: Conference Attendee Cost Calculations
Enter room rate based on selections in Section 2 and supporting Tables on page 2.

Enter number of nights staying

Enter Total Cost for conference attendee only

** Local Bed tax exemption. You must submit signed Bed Tax Exemption form (see your district procedures).

*** Payment must be made using school check or credit card and you must submit both a signed Bed Tax and State Tax (Sales) Exemption form (see your district procedures) to qualify for both state tax and local bed tax exemption.

Note: These rates also include a $5.00/night non-exemptible State Hotel Room Fee.


Section 4: Payment Information (only for school payments)
Full payment required: Make checks payable to Epworth by the Sea (preferred payment method) or charge to MasterCard/VISA/Discover. Charges will be run upon receipt of lodging reservation form

Full payment is required at time of booking and credit card charges are run upon receipt of lodging reservation

Purchase Orders will be accepted, but must be paid by May 9, 2017

This section is used to calculate cost only if conference attendee’s lodging is paid for on a school account. Use section 5 if attendee is paying for lodging on a personal account (regardless if the fee is reimbursed).


Section 5: Family and Guest Information (Those staying at Epworth but not attending IDEAS
Subsection A:
List number of adult guests (not attending conference). Select the appropriate adult rate from the above Charts and enter amount.

List the number of Teens (age 13-17). Multiply the number of teens and enter amount

List the number of Children (age 3-12) Multiply the number of children and enter amount

Enter the number of nights

Calculate and enter the total.

Add conference attendee total (from Section 3) if paying with a personal credit card or check. Enter N/A if attendee registration is being paid on a school account.

Subsection B:
Enter Payment information for Family and/or Guest and conference attendee if no school payment information is listed in Section 4.


Section 6:
Register at www.epworthbythesea.org/events/ or submit form to Epworth by the Sea by mail, fax, or email.
No telephone reservations.



Email: kmaloy@epworthbythesea.org
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
FAX: (912) 634-0642

Full payment no later than May 9, 2017

Additional Information
Check-in 4 PM / Check-out 11:30 AM

Cancellation Policy: Full refund on or before May 9, 2017, after May 9th first night’s rate is not refunded.

Lodging Questions: Contact, Kelly Maloy. Phone: 912-638-8688 or kmaloy@epworthbythesea.org

Confirmations will be issued by Epworth by the Sea.