Peaky Midwest Registration 2020
Peaky Midwest 2020 will be held on April 17 - 19 in a private home in Madison, Wisconsin.

Registration is currently open, and we have a cap of 25 writers due to space, so don't wait too long to register!
Email address *
Other Contact Info
Your Name: *
(Writers only) Name for Publication:
If you want something other than the name above used to give you credit for your work, enter it here. Enter None if you would rather not have any name published.
Phone Number: *
(cell preferred)
I have read the appropriate part of the Peaky Midwest website. *
Code of Conduct
Please read the Code of Conduct:
I have read the Code of Conduct. *
Details on Attending
I wish to attend as a: *
Would you like to apply for a writer scholarship?
Peaky Midwest has reserved three scholarships to cover writer registration for people who wouldn't otherwise be able to attend.
Do you have any dietary restrictions or food allergies? *
We will do our best to make sure you have good things to eat but we need to know in advance what to plan for.
A note on cats
Please note that our hosts have cats living in their home. We will be thoroughly cleaning the site before the workshop, but you will likely be exposed to some cat allergens anyway.
Do you have any physical limitations or medical conditions that we should know about?
(Writers only) Will you be bringing a laptop to use for writing?
Clear selection
(Writers only) Can you bring a laptop to loan someone else?
This is optional. We appreciate it but it's ok if you can't.
(Writers only) Can you bring a printer to use?
We'll provide paper but not toner or ink.
Clear selection
Please note that we are unable to provide crash space at the Peaky Midwest 2019 workshop.

If you want to stay in a hotel near the workshop site we recommend the "Wyndham Garden Madison Fitchburg". Other hotels in Madison on or near the beltline should be within a 10 to 15 minute drive of the location of the workshop.
If you plan to take the bus to Madison we can probably arrange for someone to pick you up from the station. Please tell us if you will need pickup, which bus line/station you're using, and roughly when you plan on arriving.

Please tell us if you are looking to carpool to or from the event and we will make sure that you have access to the Peaky Midwest email list where you can coordinate rides with other attendees.
Do you need help with transportation to or from the workshop?
Is there anything else we should know?
Almost done! Writers, please pay us!
If you're a player all you need to do is submit this form and you're done! If you're a writer, please send us the $35 fee after you've submitted this form. We accept:

PayPal: chaos at highprogrammer dot com

Cash App: $AlanDSCash$AlanDSCash

Zelle: chaos at highprogrammer dot com

(Note: Alan De Smet is our treasurer.)
A copy of your responses will be emailed to the address you provided.
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