Mountain Moon Festival Fall 2018 Registration
This fall: Sept. 28-30, 2018!

Online payment option NOW AVAILABLE! Click the link to the online payment page after sending in your registration.

Otherwise, mail your check to:
Mountain Moon Festival c/o Betty Becker
2306 Keystone Ct
Boulder, CO 80304

First Name (Adult #1) *
The name you'd like on your nametag.
Your answer
Last Name (Adult #1) *
Your answer
First Name (Adult #2)
The name you'd like on your nametag.
Your answer
Last Name (Adult #2)
Your answer
Youth (under 16)
Include First Name (to appear on name tag), Last Name and age on Sept. 28, 2018
Your answer
New Participant *
Will this be your first time attending the Mountain Moon Festival?
Email Address *
Separate with commas for multiple.
Your answer
Phone *
Format: 123-456-7890
Your answer
Mailing Address *
Your answer
City, State & Zip Code *
Your answer
Information Opt-Out
Please check the items that you DO NOT want shown on the Communications List that is given to those attending the Mountain Moon Festival. Addresses will not be shared on the list.
Photo Permission *
By selecting "YES" I give my permission for my photo to be used for the Mountain Moon Festival website and other festival related advertising. If you select "NO" you will be contacted by an organizer to take the appropriate actions to accommodate your needs.
Food Preferences *
CHOOSE ALL THAT APPLY. We will make every effort to accommodate food preferences.
Required
I have experience with ______ and I would like to help in this area during the Fall 2018 festival.
Your answer
Offering a Workshop?
Adult or Children (Family Co-op requires one child friendly workshop per family.) NOTE: if you offer a workshop, you will be given a chance to register for your Community Task ahead of time to be sure of getting a time slot you prefer!
Your answer
Desired Workshop?
Please identify the workshop name or activity. Do you know anyone who could offer it?
Your answer
First Aid
Willing to help?
Doctor
Nurse
EMT
First Aid Kit
Please identify yourself:
Adults Registered (16+) *
Multiply by $105
Your answer
Youth Registered (3-15) *
Multiply by $55 (0 if not applicable)
Your answer
Total Price *
Add Adults + Youth
Your answer
Check Number (OR wait for the online payment link after selecting 'Submit')
Please include the check number here to easily match your check payment to your registration. Make check payable to: Mountain Moon Festival. Mail to: Mountain Moon Festival c/o Betty Becker 2306 Keystone Ct Boulder, CO 80304
Your answer
Questions or Comments?
Your answer
Submit
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