Registration Form

** All areas denoted in red are required.

Name: ________________________________________

Nickname/Handle: ________________________________________

Age: __________

E-mail: ________________________________________

Alternative Contact Information: ________________________________________

Location Traveled From: ________________________________________

Special Requirements: (If you cannot stand for long periods, allergies, asthma, low blood sugar, etc.)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Favorite member of Arashi: ________________________________________

Are you being accompanied by a registered friend or family member? Select: Yes No

What name are they registered under? ________________________________________

Would you like an e-mail confirming your registration? Select: Yes No

Please sign below stating that you understand that this information is being collected only to keep track of our registered guests. None of the information gathered will be sold to businesses of any sort and no Spam will be sent to your e-mail address.

Signature ________________________________________

Date ________________________________________

Thank You For Registering for the Arashi Winter Fan Meet 2008