Spouse/Partner, Guest and Youth Registration and Activities Sign-up 75th ANNUAL MEETING OF THE MIDWESTERN LEGISLATIVE CONFERENCE Rapid City, | July 11-14, 2021 The deadline to register is June 4 SPOUSE/PARTNER AND ADULT GUEST REGISTRATION

Spouse/Partner and Guest Payment Information – Includes guests 18 and older. Primary participants may not register business colleagues as guests.

Registrant Name: ______

Spouse/Partner Name: ______Guest Name:______

Total number of guests:______x $175 each = $______

If you are paying by credit card, please provide a cell phone number where we can reach you within 48 business hours for the information.

______

SPOUSE/PARTNER AND ADULT GUEST ACTIVITIES SIGN-UP

Please check all events you will attend. (The $175 spouse/partner and guest fee applies when attending events with your children.) Name: ______Emergency Phone Number: ______Sunday, July 11, 6:00 - 9:00 pm | Youth Meet and Greet at Reptile Gardens — Featuring animal friends! (only if attending with children) Sunday, July 11, 6:00 - 9:00 pm | Opening Reception at Reptile Gardens (must be 21 to attend) Monday, July 12, 9:45 am - 2:15 pm | A Journey to the Journey Museum (all ages) Monday, July 12, 9:45 am - 2:15 pm | Guided Walking Tour of President Statues (all ages) Monday, July 12, 3:45 - 11:15 pm | Family Night at Memorial and National Memorial (all ages) Tuesday, July 13, 9:45 am - 3:15 pm | A Day of Adventure at (all ages) Tuesday, July 13, 5:45 - 10:45 pm | Youth Closing Event — Dinner and Fun at the Rushmore Plaza Holiday Inn (only if attending with children) Tuesday, July 13, 6:00 - 7:00 pm | Kansas MLC 2022 Reception at The Monument (must be 21 to attend) Tuesday, July 13, 7:00 - 10:30 pm | State Dinner at The Monument (must be 21 to attend)

Name: ______Emergency Phone Number: ______Sunday, July 11, 6:00 - 9:00 pm | Youth Meet and Greet at Reptile Gardens — Featuring animal friends! (only if attending with children) Sunday, July 11, 6:00 - 9:00 pm | Opening Reception at Reptile Gardens (must be 21 to attend) Monday, July 12, 9:45 am - 2:15 pm | A Journey to the Journey Museum (all ages) Monday, July 12, 9:45 am - 2:15 pm | Guided Walking Tour of President Statues (all ages) Monday, July 12, 3:45 - 11:15 pm | Family Night at and Mount Rushmore National Memorial (all ages) Tuesday, July 13, 9:45 am - 3:15 pm | A Day of Adventure at Custer State Park (all ages) Tuesday, July 13, 5:45 - 10:45 pm | Youth Closing Event — Dinner and Fun at the Rushmore Plaza Holiday Inn (only if attending with children) Tuesday, July 13, 6:00 - 7:00 pm | Kansas MLC 2022 Reception at The Monument (must be 21 to attend) Tuesday, July 13, 7:00 - 10:30 pm | State Dinner at The Monument (must be 21 to attend)

Please list special dietary requirements or disability that require on-site assistance:

______

______

Program dates and times are subject to change. By registering for and attending the MLC’s 75th Annual Meeting, attendees agree to comply with all pandemic-related health and safety protocols established by the MLC to help ensure the safety of all event participants. You may fax this form to 630.925.1930, e-mail to [email protected] or mail to 701 East 22nd Street, Suite 110, Lombard, IL 60148. If you have any questions, please call 630.925.1922._ YOUTH REGISTRATION IS ON PAGE 2 YOUTH REGISTRATION AND ACTIVITIES SIGN-UP

An adult must accompany children under the age of 6. Please note that adults can only attend daytime and evening youth activities if they are accompanying their child and have paid the $175 fee. There is no charge for children under the age of 18 to participate. Please provide your child’s name, age and T-shirt size: specify youth (Y) or adult (A) and small (S), medium (M), large (L) or x-large (XL).

Youth Name:______Age*: ______T-Shirt Size:______

Sunday, July 11, 6:00 - 9:00 pm | Youth Meet and Greet at Reptile Gardens — Featuring animal friends! Monday, July 12, 9:45 am - 2:15 pm | A Journey to the Journey Museum (all ages) Monday, July 12, 9:45 am - 2:15 pm | Guided Walking Tour of President Statues (children must be accompanied by an adult) Monday, July 12, 3:45 - 11:15 pm | Family Night at Crazy Horse Memorial and Mount Rushmore National Memorial (all ages) Tuesday, July 13, 9:45 am - 3:15 pm | A Day of Adventure at Custer State Park (all ages) Tuesday, July 13, 5:45 - 10:45 pm | Youth Closing Event — Dinner and Fun at the Rushmore Plaza Holiday Inn

Youth Name:______Age*: ______T-Shirt Size:______

Sunday, July 11, 6:00 - 9:00 pm | Youth Meet and Greet at Reptile Gardens — Featuring animal friends! Monday, July 12, 9:45 am - 2:15 pm | A Journey to the Journey Museum (all ages) Monday, July 12, 9:45 am - 2:15 pm | Guided Walking Tour of President Statues (children must be accompanied by an adult) Monday, July 12, 3:45 - 11:15 pm | Family Night at Crazy Horse Memorial and Mount Rushmore National Memorial (all ages) Tuesday, July 13, 9:45 am - 3:15 pm | A Day of Adventure at Custer State Park (all ages) Tuesday, July 13, 5:45 - 10:45 pm | Youth Closing Event — Dinner and Fun at the Rushmore Plaza Holiday Inn

Youth Name:______Age*: ______T-Shirt Size:______

Sunday, July 11, 6:00 - 9:00 pm | Youth Meet and Greet at Reptile Gardens — Featuring animal friends! Monday, July 12, 9:45 am - 2:15 pm | A Journey to the Journey Museum (all ages) Monday, July 12, 9:45 am - 2:15 pm | Guided Walking Tour of President Statues (children must be accompanied by an adult) Monday, July 12, 3:45 - 11:15 pm | Family Night at Crazy Horse Memorial and Mount Rushmore National Memorial (all ages) Tuesday, July 13, 9:45 am - 3:15 pm | A Day of Adventure at Custer State Park (all ages) Tuesday, July 13, 5:45 - 10:45 pm | Youth Closing Event — Dinner and Fun at the Rushmore Plaza Holiday Inn

Youth Name:______Age*: ______T-Shirt Size:______

Sunday, July 11, 6:00 - 9:00 pm | Youth Meet and Greet at Reptile Gardens — Featuring animal friends! Monday, July 12, 9:45 am - 2:15 pm | A Journey to the Journey Museum (all ages) Monday, July 12, 9:45 am - 2:15 pm | Guided Walking Tour of President Statues (children must be accompanied by an adult) Monday, July 12, 3:45 - 11:15 pm | Family Night at Crazy Horse Memorial and Mount Rushmore National Memorial (all ages) Tuesday, July 13, 9:45 am - 3:15 pm | A Day of Adventure at Custer State Park (all ages) Tuesday, July 13, 5:45 - 10:45 pm | Youth Closing Event — Dinner and Fun at the Rushmore Plaza Holiday Inn

Emergency Phone Number:______

*Age at time of conference.

Please list special dietary requirements or disability that require on-site assistance:

______

______

Program dates and times are subject to change. By registering for and attending the MLC’s 75th Annual Meeting, attendees agree to comply with all pandemic-related health and safety protocols established by the MLC to help ensure the safety of all event participants.

You may fax this form to 630.925.1930, e-mail to [email protected] or mail to 701 East 22nd Street, Suite 110, Lombard, IL 60148. If you have any questions, please call 630.925.1922._