(Note: A confirmation of your registration (and payment, if paid), plus
will be emailed or snail-mailed out around April 1;
registrations received after that date will
have confirmations emails out within a week of receipt.)
1) PLEASE PRE-REGISTER AND PRE-PAY!! Because there is limited parking space at
Roxanna, once we reach 100 attendees, we will have to use an alternative parking area a couple
of miles away.
2) To help ensure privacy and security, directions are only sent to those who pre-register. You
may pay at the gate, 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 weekend or daytrip price (see prices), regardless of when you
register! NO CHECKS AT
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.
Legal Name (&
Nickname) (1) *
Legal Name (&
MINORS: If you
are bringing YOUR children with you who are under the age of 19, 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 at the bottom of this page.
Full Name/Age (1)
If you are bringing
children with you who are under the age of 19, 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
Full Name/Age (M2)
Minor's Registration Form &
Waiver for each child.
Any allergies or
medical problems we should know about? (Please tell us *who* these conditions apply
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.
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 discounted admission (sorry!).
Do you want to bring a pet or service animal? ALL animals must be
registered in advance. They also must have proof of all current vaccines (bring
paper from your vet). Animals (especially dogs, and including service animals) must be well-
behaved and under physical control at all times (this means leashed or crated, not running loose
or under verbal command). You must clean up after your pet, so that "doggie bombs" are not left
behind for others to step in. There is a fee for pets (see prices for
current fee); service animals are always free, but must
meet above guidelines. NOTE: I reserve the right to refuse admission to any animal at any
time for any reason, to limit the total number of dogs allowed to any festival, and to ask any
animal to be removed from the site without refund for any reason.
GENERAL WAIVER AND INFORMED CONSENT TO
(1) I (Legal
and (2) I (Legal
having read and understood the
rules and standards
expected while at Roxanna, freely consent to these. Being a voluntary
at Roxanna, near Auburn, Alabama, May 25-29, 2017, I agree to abide by the above rules
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 Moondance, 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) *
(2) Signature (parent
sign for minor under 18 years of age)
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
I will be paying at the gate, full weekend (see
I will be paying at the gate, daytrip, Fri, Sat, or Sun (see prices)
PLEASE PRINT A COPY OF THIS PAGE FOR YOUR RECORDS,
CLICKING THE SUBMIT BUTTON BELOW!!
When you click the button below, you will see our "Thank You" page. There is a link there
you to click to go to our Moondance PayPal Payment Page. NOTE: If you just want to mail a
check or money order, go ahead and click the button, so your registration info will be sent to us,
then hit Back to come back to this page. You can print this page and mail with your
Type the following:
purposes, please type the letters in the image.