FallFling Registration Form

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FallFling 2013 Registration Form

(Note: A confirmation of your registration (and payment, if paid), plus directions will be emailed or snail-mailed out around September 1;
registrations received after that date will have confirmations emails out within a week of receipt.)

IMPORTANT:
1) PLEASE PRE-REGISTER AND PRE-PAY!! Because there is limited parking space at Roxanna, any festivals there are capped at 100 attendees. The land just will not hold any more people and cars than that. Precedence will be given to those who have pre-paid; this includes day-trippers.
2) Directions will only be sent to those who pre-register. You may pay at the gate (if the cap of 100 people has not yet been reached when you arrive), but please let us know you'll be there. Also, we need to know how many to plan for, so we can have enough portapotties.

Gate Payments: All payments at the gate MUST BE CASH OR MONEY ORDER, and will be the full price of $40 weekend or $20 daytrip, regardless of when you register! NO CHECKS AT THE GATE.

You may fill out or send one form for your entire family, all related, living at one address, but please fill out separate forms for roommates or friends.

* = Required Fields

*Legal Name (& Nickname) (1):
*E-Mail Address (1):

Legal Name (& Nickname) (2):
E-Mail Address (2):

*Address:
*City: *State: *Zip:

Home Phone:
Cell Phone:
Work Phone:

MINORS:

If you are bringing YOUR children with you who are under the age of 18, list their names and ages here. If YOU are the parent or legal guardian, there is no need to fill out a separate registration form for your children; but by listing their names here you are assuming responsibility for them while they are at the festival under the strictures of the waiver on the back of this page.

Full Name/Age:
Full Name/Age:
Full Name/Age:
Full Name/Age:

If you are bringing children with you who are under the age of 18, and you are NOT the parent or legal guardian, please: a) list their names and ages below; b) have the parent or legal guardian fill out a Minor's Registration Form & Waiver for each child.

Full Name/Age:
Full Name/Age:
Full Name/Age:
Full Name/Age:

Any allergies or medical problems we should know about? (Please tell us *who* these conditions apply to!)

Are you vending? Please read, print, and fill out the Vendor Information Form and send it in with your registration form and payment. NOTE: Vendors do not qualify for discounted admission, but you also do not have to volunteer for a job when you arrive. Deadline for vendors is OCTOBER 4 - NO EXCEPTIONS!!!

Do you want to hold a class or a ritual? Please fill out the Class and Ritual Volunteer Form and send it in with your registration form and payment. NOTE: Leading a class or ritual counts as part of your community service to the festival, and does not grant you free or discounted admission (sorry!). Deadline for classes and rituals is OCTOBER 4 - NO EXCEPTIONS!!!

Do you want to bring a pet or service animal? Please read and fill out the Pet/Service Animal Application Form.

GENERAL WAIVER AND INFORMED CONSENT TO PARTICIPATE

*(1) I (Legal Name),
and (2) I (Legal Name),
having read and understood the rules and standards of conduct expected while at Roxanna, freely consent to these. Being a voluntary participant at FallFling 2013, at Roxanna, Auburn, Alabama, October 10-13, 2013, I agree to abide by the above rules and regulations. I also understand that if I do not abide by these, I may be escorted from the site without refund. I also agree to hold harmless the owners of the site of Roxanna, the organizers and staff of FallFling, and all its representatives, from all claims, actions, expenses and demands in respect to injury, loss or damage to my person or property, however caused, arising in connection with my participation even if the same may have been contributed to or occasioned by the negligence of the owners, the said body, or of any of its representatives.

Please type your full legal name below; this will be your electronic signature)

*(1) Signature (parent sign for minor under 18 years of age)
*Date signed:

(2) Signature (parent sign for minor under 18 years of age)
Date signed:

Method of Payment:
I will be paying via PayPal momentarily
I will be mailing a check or money order (paying whatever the current price is when I mail my check)
I will be paying at the gate, full weekend ($40 cash)
I will be paying at the gate, daytrip, Friday or Saturday ($20/day cash)

PLEASE PRINT A COPY OF THIS PAGE FOR YOUR RECORDS, *BEFORE* CLICKING THE SUBMIT BUTTON BELOW!!

Note: A confirmation of your registration (and payment, if paid), plus directions will be emailed or snail-mailed out around September 1; registrations received after that date will have confirmations emails out within a week of receipt.

When you click the button below, you will be taken to the captcha confirmation page. I can't seem to make it send you to the PayPal Payment Page automatically, so just hit your BACK button, come back here, and click the link below to pay via PayPal:

Ready ? Ok, but before you click 'Send Form' please insert the same letters and numbers you see in this image into the box to your right ->
:

CLICK HERE TO PAY VIA PAYPAL

If mailing this form with a check, please note below what you are paying for.
WEEKEND FEE (Per person, for full 5 days, includes camping):
 (NOTE: Current price only good if payment accompanies registration.) Prices per person, ages 18 and older (11-17 are half price; 10 and under and 2nd or more child are free):
Postmarked and paid by August 1, 2013
$25.00
$________
Postmarked and paid by October 1, 2013
$35.00
$________
After October 1 and at the gate, Adult
$40.00
$________
CST members get $5 off weekend adult prices (please email me for a CST payment link)
Children 11-17
Half price
$________
Children 10 and under and 2nd or more child
Free
 $________
DAYTRIP FEE (Per person, per day, Friday or Saturday, no overnight camping):
 (NOTE: Current price only good if payment accompanies registration.) Prices per person, per day, ages 18 and older (11-17 are half price; 10 and under and 2nd or more child are free):
Postmarked and paid by October 1, 2013
$15.00
$________
After October 1 and at the gate
$20.00
$________
ADDITIONAL FEES:
Vendor Fee (did you send your Vendor Info Form?)
$15.00
$________
Electricity for Vendors
$15.00
$________
Pet Fee
$25.00
$________
Total enclosed: $________

MAKE CHECKS OUT TO LINDA KERR; mail form and check to:

Linda Kerr
P.O. Box 3165
Auburn, AL 36831-3165