Register — Prodigal Sons V

Register Online

Complete the form below and click Preview Email. Your email client will send a pre-filled message to prodigalsonsv@gmail.com. If you prefer, you can print this page and mail a check with the cut-off portion instead. Questions? Contact Daniel S. at 941-730-4274 or send email to: prodigalsonsv@gmail.com.

Name Address Phone Email Sobriety Date

Payment Options: Pay electronically (PayPal) Send a check made payable to Daniel Shepard

Room Options: Double Hotel Room — $195 Single Hotel Room — $230 (limited) No Hotel — Commuter — $125 (all events, five meals, lodging excluded) Scholarship Wait List (first come, first served) I wish to share my room with (roommate must also register):

Mail-in: Make checks payable to Daniel Shepard and mail to: 2311 14th Ave W APT 502, Palmetto, FL 34221.
Electronic payments: Pay Now.