regform

Please fill out the registration form, then go to the store if you would like to use a credit card/Paypal to register. If you would like to send a check, you'll receive an e-mail with instructions. No registration is complete until payment is received. We're sorry, but we cannot issue refunds.

(After you fill out the form there may be an ad or other non-related questions (so we can get our forms done for free, helping to make the conference more affordable. Feel free to skip those if you like.)

Family Registration Name (One Last name for us to look up your registration)
Email Address:
Street Address
City
State
Zip code
Phone number
Name Badge 1 (Full name, please. Nickname is fine!)
Category
Age, if child
Name Badge 2 (Full name, please)
Category
Age if child
Name Badge 3 (Full name, please)
Category
Age if child
Name Badge 4 (Full name, please)
Category
Age if child
Name Badge 5 (Full name, please)
Category
Age if child
Name Badge 6 (Full name, please)
Category
Age if child
Name Badge 7 (Full name, please)
Category
Age if child
Name Badge 8 (Full name, please)
Category
Age if child
I have already been approved for a scholarship.	Yes No
I would like to volunteer at the conference.	Yes No
My family would like to be included in the conference directory. (You don't need to purchase the directory to be included.)	Yes No
Contact information to be included in directory (names, ages, address, phone, e-mail, etc.)
Other information to be included in directory (hobbies, interests, visitors wanted, etc.)
What form of payment would you like to use for your registration?	Credit Card/Paypal Mailed check Direct deposit check
I understand that I am responsible for my safety and behavior and that of my children at the conference.	I agree. I disagree.

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