Convention Registration Form | CECA - Carolinas Electrical Contractors Association

Name*

First Last

Spouse/Guest Name

First Last

Company Name*

Lifetime Members, please put Lifetime Member or the company from which you retired.

Mailing Address*

Address Address Line 2 City State ZIP Code

Email*

Phone

Please provide the number of children attending with you so we have an accurate headcount:

Please enter a number greater than or equal to 0.

Child 1 Name

First Last

Child 2 Name

First Last

Child 3 Name

First Last

Child 4 Name

First Last

Child 5 Name

First Last

Registration Fees

Registration Type:

Number of Participants for Golf Event - Pine Lakes Course

Price: $150.00 Quantity:

Golf will be straight Captain's Choice, so you may send us your team names or we will be glad to assign you to a team.

Golfer 1 Name

First Last

Golfer 1 Handicap

Golfer 2 Name

First Last

Golfer 2 Handicap

Spouse Event – Beach Beads and More - Brunch and Jewelry Making Class

Adult to attend Brunch and Jewelry Making Class

Price: $140.00 Quantity:

Ages 19 and up will be considered an Adult

Number of kids to attend Brunch and Jewelry Making Class

Price: $65.00 Quantity:

ages 8 to 18

Number of kids to go to Childcare

Price: $40.00 Quantity:

Name(s) and Age(s) of children going to Childcare during Jewelry Making Class

Adult Name 1 to attend Brunch and Jewelry Making Class

First Last

Adult Name 2 to attend Brunch and Jewelry Making Class

First Last

Corn Hole Tournament Registration:

$10 a player or $20 a team.

Name of Corn Hole player 1

First Last

Name of Corn Hole player 2 (if team)

First Last

I would like to sponsor the CECA Convention T-shirts for $148:

Each Registrant, Spouse/Guest and Children will receive a Convention T-Shirt. Usually we have the sponsors logos on the back of the shirt. In honor of CECA's 75th Anniversary in 2021, we will have something different on the back of the shirts. We will have signs displaying the logos of the shirt sponsors at the events. We hope all members will support this with a shirt sponsorship. Only one person from a company should sign up for this. This sponsorship opportunity is for CECA Members Only.

Sponsorship

I would like to be a Sponsor of the CECA Convention:

Other Amount

T-Shirt Sizes - Each Registrant, Spouse/Guest and Children receive a Convention T-Shirt

Your T-shirt Size:

Spouse/Guest Shirt Size

Child 1 T-shirt Size:

Child 2 T-shirt Size:

Child 3 T-shirt Size:

Child 4 T-shirt Size:

Child 5 T-shirt Size:

CECA Kids Party- Tentative

Tentative - The CECA Kids Party will be held nightly from 6:45-11:00 pm at the Marriott Grande Dunes Resort. We will provide the children with dinner each evening along with an exciting Beach Kids Party with carnival games, crafts, and prizes. Dinner will be a kid’s meal of a choice of either: a hamburger or chicken fingers, fries, a cookie, lemonade, and water. The Kids Party is $67 per child per night.
Sitting Service for special needs children is available at no extra charge. Contact Kendall at the CECA Office for information.
* As always, the children are welcome to attend all CECA Events. The Kids Party is an alternative for the children.

Number of kids attending the Kid's Party

Number of nights attending the Kid's Party

Please enter a number less than or equal to 3.

Price of Kid's Party

Price: $63.00

Nights attending Children's Party

Thursday
Friday
Saturday

Child 1 Name

First Last

Child 1 Age

Child 1 Meal Choice (Thursday)

Hamburger
Chicken Fingers

Child 1 Meal Choice (Friday)

Hamburger
Chicken Fingers

Child 1 Meal Choice (Saturday)

Hamburger
Chicken Fingers

Please indicate any food allergies your child has:

Child 2 Name

First Last

Child 2 Age

Child 2 Meal Choice (Thursday)

Hamburger
Chicken Fingers

Child 2 Meal Choice (Friday)

Hamburger
Chicken Fingers

Child 2 Meal Choice (Saturday)

Hamburger
Chicken Fingers

Please indicate any food allergies your child has:

Child 3 Name

First Last

Child 3 Age

Child 3 Meal Choice (Thursday)

Hamburger
Chicken Fingers

Child 3 Meal Choice (Friday)

Hamburger
Chicken Fingers

Child 3 Meal Choice (Saturday)

Hamburger
Chicken Fingers

Please indicate any food allergies your child has:

Child 4 Name

First Last

Child 4 Age

Child 4 Meal Choice (Thursday)

Hamburger
Chicken Fingers

Child 4 Meal Choice (Friday)

Hamburger
Chicken Fingers

Child 4 Meal Choice (Saturday)

Hamburger
Chicken Fingers

Please indicate any food allergies your child has:

Child 5 Name

First Last

Child 5 Age

Child 5 Meal Choice (Thursday)

Hamburger
Chicken Fingers

Child 5 Meal Choice (Friday)

Hamburger
Chicken Fingers

Child 5 Meal Choice (Saturday)

Hamburger
Chicken Fingers

Please indicate any food allergies your child has:

Billing Information

Please make sure the following information is as it appears on the credit card statement to ensure proper billing.

Billing Amount:

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

CANCELLATION POLICY: Full Refund prior to May 24th; $100 Service Charge, May 25th - June 1st; No Refunds after June 1.

Email

This field is for validation purposes and should be left unchanged.

CECA Convention Registration Form

Registration Fees

Sponsorship

T-Shirt Sizes - Each Registrant, Spouse/Guest and Children receive a Convention T-Shirt

CECA Kids Party- Tentative

Billing Information