WinterCon 2027 Registration
Student/Leader Name
*
First Name
Last Name
Student or Adult Ticket
Please Select
Adult
Student
Would you like to add another person?
*
Yes
No
Additional Student/Leader Name
First Name
Last Name
Student or Adult Ticket
Please Select
Student
Adult
Would you like to add another person?
*
Yes
No
Additional Student/Leader Name
First Name
Last Name
Student or Adult Ticket
Please Select
Student
Adult
Additional Student/Leader Name
First Name
Last Name
Student or Adult Ticket
Please Select
Student
Adult
Additional Student/Leader Name
First Name
Last Name
Student or Adult Ticket
Please Select
Student
Adult
Email Address
*
example@example.com
Emergency Contact Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dietary Restrictions
Gluten-Free
No Restrictions
Other
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TICKET/TSHIRT PAYMENT
Tickets and T-Shirt Selection
*
prev
next
( X )
Student Ticket
$49.00
$
49.00
Quantity
1
2
3
4
5
6
7
8
9
10
Leader Ticket
$49.00
$
49.00
Quantity
1
2
3
4
5
6
7
8
9
10
T-Shirt XS
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
T-Shirt S
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
T-Shirt M
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
T-Shirt L
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
T-shirt XL
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
T-shirt XXL
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
T-shirt XXXL
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Product Name
$1.00
$
1.00
Quantity
1
2
3
4
5
6
7
8
9
10
PAY HERE
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WAIVER FORM
Name of Guardian/Adult Attendee
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list all students for whom you are signing this waiver form
Acknowledgment of Risks and Liability Waiver
I have read and agree to the terms of the waiver and release for WINTERCON 2027
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: