Annual Pan Pagan Registration Form
Online Registration form for the Annual Pan Pagan Festival. Please note - until payment is received, you are not officially registered. Pre-Registration ends July 10.
Email address
Full Legal Name (person 1)
Your answer
Address
Your answer
Tradition
Your answer
Full Legal Name (person 2)
Your answer
Address
Your answer
Minors (Please list all attending with age of each minor)
Your answer
Registration Type - Adult/Teen
Number of Adults/Teens Registering
Your answer
Registration Type - Senior/Student
Number of Seniors/Students Registering
Your answer
Registration Type - Children
Number of Children Registering
Your answer
Registration Type - Family Plan - please be sure to list all children in the minors section above with their age.
Number of Additional Children being added to the Family Plan
Your answer
Electrical Hook-Up (Please Note - Hook-ups are limited and medical needs are given preference)
Total Number Registering
Your answer
Total Amount
Your answer
Please list the number of Vegetarians | Vegans | Gluten Free people
Your answer
How did you hear about our fest?
Your answer
Extra Notes - Anything you'd like to let us know before you arrive
Your answer
Payment Choices:
There are two ways to pay. You can use the website to pay via PayPal or you can send a check or money order in. If paying via check/money order please make it payable to: Midwest Pagan Council and send it to:

Midwest Pagan Council
P.O.Box 160
Western Springs, IL 60558-0160

Please Note: Failure to submit payment before the Pre-Registration end of July 10 will mean full price required upon arrival.This form does not hold the pre-registration price for you.

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