Jaycon 10 Attendee Registration form
First Name *
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Last Name *
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Street Address 1 *
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Street Address 2
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City *
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State *
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Zip Code *
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Email *
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Phone Number *
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Birth Date *
All attendees who will be under the age of 18 on the date of the convention will be required to complete an Under-18 Form, which must be signed at the Registration Table by a legal guardian. Copies of these forms will be available at the convention.
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Are you currently a student at Elizabethtown College? *
Group Rate
Are you registering with a group of 8 or more people? If YES, Please use last name of your first registered group member. Remember, ALL group members must register!
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Group Leader or Member
Are you registering with a group? Please answer the form below to clarify
Group Leaders Name (Group Members)
Please give us the First and Last name of your Group Leader
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Additional Information
Please let us know if there is any information that we need to know about you!
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