Reformation & Reunion Registration Form

Event registration is $25 per person.

I am...

Email Address

Confirm Email Address

First Name

Last Name

Mailing Address Line 1

Address Line 2

Address Line 3

City

State

Zip

Cell Phone

Home Phone Number

Seminary Graduation Year

I give permission for WTS to share my name and contact information with my classmates.

How many people are in your party (this number should include you):

Please list the full names of the other people in your party.

Please describe any dietary needs you may have.

Please list any special needs or considerations

Hotel Information

Best Western PLUS Dubuque Hotel & Conference Center
3100 Dodge Street

A block of hotel rooms has been set up for Reformation and Renewal at Wartburg. Please call 563-557-8000 to make your individual reservations and guarantee with credit card. Standard Room Rates are based on single or double adult occupancy: $84.99 plus tax (rate is available Sunday-Thursday) Each additional adult in the room is $10. Children 17 and under stay free with an adult. A complimentary hot breakfast buffet is included for all registered hotel guests.

Hotel reservations must be made by Sunday, March 12, to get the reduced rate.

This information will be included on the copy of your registration form included in your registration confirmation email.

Will you be staying at the Best Western?

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