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General Registration
General Registration
Adult and Kids Registration
Main Adult Fee
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Enter Email
Confirm Email
Are you registering any children under the age of 17? (Kids between 0-17 pay $60)
(Required)
Yes
No
Please provide the total number of children under 17 you want to register
Quantity
Price:
$60.00
Quantity
Please provide the details of the Child(ren) – Please use the + to add more children
Child's First Name
Child's Last Name
Child's Date of Birth (MM/DD/YYY)
Child's Age
List any food Allergies
Add
Remove
Are you registering additional adults (bulk registration)?
(Required)
Yes
No
Please provide the number of additional Adults you want to register
Quantity
Price:
$100.00
Quantity
Please provide the details of the additional adults (Please use the + to add more adults)
First Name
Last Name
Phone number
Email (if known)
Add
Remove
Would you like to sponsor an attendee?
(Required)
Yes
No
Please make a donation (Any amount)
Total
Payment Method
PayPal Checkout
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Do you CONSENT to appear in media? These images and recordings may be used by the organizers for promotional, marketing, and archival purposes across digital and print platforms, without compensation.
(Required)
Yes, I consent
No, I DO NOT consent
Admin Only
Completed For:
Email Address
Enter Email
Confirm Email
Payment made via:
Zelle
Cash
MOHID