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MEMBERSHIP #________
NORTHWEST TOLKIEN SOCIETY & TOLCON REGISTRATION FORM
For the sanity of the Registration Goddesses, please print CLEARLY.
If we cannot read it, we will not register you Thank you.
Name: ________________________________________________________________________
Badge Name: _________________________________________ Birthdate: _____/_____/_____
Address: ______________________________________________________________________
City: ______________________________ State/Prov.: ___________________ Zip/PC: _______
Phone: (______) ____________________ Email: ______________________________________
Emergency Contact Name: ___________________________
How to Contact Them: ___________________________________________________________
Children 13-17 must have a parent or guardian on site AT ALL TIMES
Children 12 and under must have a parent or guardian with them AT ALL TIMES
Children must also have a separate permission slip filled out. (ask for one!)
____________________________________________________ Birthdate: _____/_____/_____
(signature of parent or guardian)
Why are you here? Please check as many reasons as are applicable:
__ To fulfill my dreams of being Frodo/Galadriel/Sauron for a weekend.
__ Panels/Programming, specifically: _______________________________________________ _____________________________________________________________________________
__ One word. Booty.
__ The Guests, specifically:_______________________________________________________
__ The fully hot registration goddesses.
__ The Costume Ball
__ My SO/friend/family member dragged me here. (Who's this Tolkien guy, anyway? Did he write Harry Potter?)
__ Three Words: Elvish Line Dancing
I agree to abide by the rules and policies of TolCon
Signature: _____________________________________________________ Date: ___________
Prices are as follows: $35 from January 1, 2004 through April 1, 2004. $45 at the door. Group discounts are available for groups of ten or more ($5 off per person). Please send all checks and money orders, payable to "Northwest Tolkien Society" to: TolCon Registration, NW Tolkien Society, 13522 39th Ave NE, Seattle, WA 98125
_______ @ $25/$35/$45 (attending membership)
_______ - $5.00 group discount
Total enclosed: $_______ Check/Money Order # _________________
(payable to Northwest Tolkien Society)
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