Registration Form

2021 ANNUAL CONFERENCE REGISTRATION
Smoky Hill Trail Association
October 15 – 17, 2021
Abilene, Kansas

REGISTRATION DEADLINE: OCTOBER 1, 2021

1. Personal Information

First and Last Name (s) ______________________________________

Address _____________________________State ____ Zip _________

Telephone ___________Email (for confirmation) ___________________

2. Conference Fees

Registration: Member, OR # attending _______ @ $40

Non-member* # attending _______ @ $65

Friday bus tour (maximum 60) # attending _______ @ $30

Total Registration Fees: $___________

*Non-member registration includes individual membership through 2022 and
other family members living at that same address may register at the member rate.

Note: Registration includes Saturday evening meal and Seelye mansion tour

Special diet requirements (i.e., vegetarian, food allergies) __________________

3. Membership fees

NOTE: All annual memberships are calendar year. Your new membership or renewal at this time will cover your membership through December 31, 2022

Membership categories (Existing membership expire 12/31/2021)

_____$25 Individual _____$50 Business _____$30 Family (lives at same address)

_____$100 Patron _____$40 Institution (Libraries, Museums, Historical Societies)

_____$500 Lifetime _____ New _____ Renewal

Total Membership Fee $_______

Total enclosed (Registration and Membership) $_______

4. Miscellaneous Information

Please check here if you are interested in serving as a: ____ Board Member,

Committee Member: Membership ____, Nominating ____, Awards ____, Conference Planning ____, Budget/Finance ____, National Historic Trails ____, Historic
Preservation ___, Public Relations ____

Do you have access to our website www.smokyhilltrail.com: _____ yes _____ no

5. Payment Options: By check or money order only.

Please sign below and send the form and payment to Smoky Hill Trail Association, P.O. Box 978, Hays, KS 67601

6. COVID-19 Alert: Masks may be strongly encouraged. Please check our website (www.smokyhilltrail.com) for COVID protocol and/or updates.

REGISTRATION DEADLINE: OCTOBER 1, 2021

By submitting this registration form I (we) understand the risks of attending the conference including COVID-19 exposure and agree that SmHTA and its officers and agents and members are not responsible or liable for any illness, accidents or injury that occur during or by reason of the 2021 Smoky Hill Trail Association.

Signed:________________________________________ Date: _______

Signed: ________________________________________ Date: _______

Questions? Contact Danny Lattin at 785-229-2046 or danny.lattin@gmail.com