Register for the Samhain 2017 Gathering
** Do not use this copy; there's another registration form! **
Samhain 2017 at Wolf Creek Radical Faerie Sanctuary:
Gathering dates • Friday October 27-Friday November 3

Read the call

Email address *
About You
Faerie Name *
What name do you like to be called? Magical name, nickname, or just your first name.
Your answer
Mundane Name *
This helps us to connect you to PayPal or check payments.
Your answer
Email Address *
If none, type None, and be sure to enter a phone number below.
Your answer
Phone number
In case we need to call you to resolve a registration question.
Your answer
OK to add your email to the Nom-eNews mailing list? *
At the Gathering
Why are you coming to this gathering? What do you want to create and experience?
Your answer
Dates at the Gathering *
When will you be on the Land?
Housing Needs
Indoor space and special needs camping are available for elders and folks with special needs on a first come, first served basis.
Dietary Needs
Use Other to list serious food allergies or sensitivities.
Giveback & Reach-Around
Giveback Amount *
$35/day, more if you can, less if you can’t. Give As You Are Able But Always Give Something (GAYAABAGS) No One Turned Away For Lack of Funds (NOTAFLOF)
Your answer
Giveback Method *
Please plan on contributing an hour or two a day in contributing to community needs. Check all that you'd be willing to help with.
Gathering Activities
I want to offer an activity or workshop
Please describe. We will contact you to get this into the schedule. And of course you can offer activities spontanously on site!
Your answer
Anything Else?
Anything else you'd like to say?
Your answer
See you soon!
Welcome home
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service