Mountain Moon Festival Fall 2019 Registration
This fall: September 27 - 29, 2019!

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

The address for physical checks will be provided in the registration confirmation email.
Email address *
First Name (Adult #1) *
The name you would like on your nametag.
Your answer
Last Name (Adult #1) *
Your answer
First Name (Adult #2)
The name you would like on your nametag.
Your answer
Last Name (Adult #2)
Your answer
Youth (under 16)
Include First Name (to appear on nametag), Last Name, and age on September 27, 2019
Your answer
New Participant *
Will this be your first time attending the Mountain Moon Festival?
Adult #2 (or Youth) 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-IN *
Please select the information that you want shown on the Fall 2019 Participants Directory (previously known as the Communications List) which is made available to all Fall 2019 Participants. Addresses will not be shared on this list.
Required
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
Offering a Workshop?
All Ages, Adult, and/ or Children. (Family Co-op requires one child friendly workshop per family.) NOTE: if you offer a workshop, you will be given an early chance to sign up for your Community Task
Your answer
Desired Workshop?
Please include the activity and if you know of a person who could lead the workshop.
Your answer
First Aid
Willing to help?
Doctor
Nurse
EMT
First Aid Kit
Please specify:
Adults Registered (16+) *
Multiply by $125
Your answer
Youth Registered (3-15) *
Multiply by $75 (0 if not applicable)
Your answer
Total Price *
Add Adults + Youth
Your answer
Questions or Comments?
Your answer
A copy of your responses will be emailed to the address you provided.
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