Registration Form
* First name of person receiving festival pass:
* Last name:
* Gender:	FemaleMale
* Age:	Over 21 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1
Birthdate (youth only - age 17 or under):	MM/YY
Grade as of September 2009 (youth only - age 17 or under):
* Address:
Address (2nd line):
* City:
* State/Province:	INTABAKALARAZBCCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMBMDMEMIMNMOMSNCNDNENHNJNMNSNVNYOHOKONORPAQCRISCSDSKTNTXUTVAVIVTWAWIWVWY (If from country other than U.S. or Canada, select "INT")
*Postal Code:
Country:
Participant's Email address:	Email address will not be shared with anyone.
* Primary Phone:
Alternate Phone:
Another Alternate Phone:
Name of Chaperone:	If registration is for a Youth (age 17 or under), enter the name of the chaperone here. 1 chaperone (age 18+) is required for every 8 Youths.
* Pick festival pass:	4 day - Participating in workshops 4 day - Not participating in workshops 1 day Presenter Pick only one. An adult who is participating in festival workshops may serve as a chaperone, and must purchase a "Participating" pass.
* Pick membership:	Youth (age 17 and under) - $25 Adult (age 18 and up) - $50 Chaperone - $0 Already a member Presenter Please note: If membership was purchased at Festival 2007, renewal is due prior to Festival 2009.
*Do you want to rent bedding and towels? Cost: $12	No Yes Optional or bring your own sleeping bag and towels. Rental includes two bath towels, one bottom sheet, one top sheet, one pillowcase, one pillow, and one blanket for the duration of the festival.
* This registration is for:	Member of group attending festival The Group Leader of group attending festival Chaperone (age 18+) Individual adult not attending as part of a group Other
Pre-Festival Intensives:	Optional. Six hours of training on Wednesday, August 19. Learn more. Check each item you want. Intensive I -- Aerial Performer Rigging and Risk Management. $100. (no meals) Meal plan for Intensives. $25.00 - includes breakfast, lunch & dinner on 08/19/08; Early Arrival Accommodations + Meals: $50.00 -  (includes lodging on 08/18/09, dinner on 08/18/09; and breakfast &  lunch on 08/19/08 only)
* Select T-shirt size:	no T-shirt youth small youth medium youth large adult small adult medium adult large adult XL adult XXL
*Name of person or organization paying for this registration:
*Name of organization:	If not affiliated with a group, enter "Unaffiliated"
How did you hear about the festival?:	A friendAYCO mailingAYCO newsletterAYCO websiteFrom a youth circus organizationFrom another websiteother
Would you like to be on AYCO's opt-in email list to receive our electronic newsletter?:	NoYes
Send all correspondence concerning registrations, payment, waivers and releases to:	Group LeaderParentParticipant
Parent's information. Fill out the section below only if you are a parent or guardian registering a youth on this form. Fill this out regardless of whether or not you personally are attending the festival.
Parent's first name:
Parent's last name:
Parent's email address (if different from above):
Parent's primary phone (if different from above):
Parent's alternative phone (if different from above):
Parent's alternative phone (if different from above):
Parent's street address (if different from above):
Parent's city (if different from above):
State/Province (if different from above):	INTABAKALARAZBCCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMBMDMEMIMNMOMSNCNDNENHNJNMNSNVNYOHOKONORPAQCRISCSDSKTNTXUTVAVIVTWAWIWVWY (If from country other than U.S. or Canada, select "INT")
Parent's zip (if different from above):
Notes, questions, comments, suggestions, special needs:
* Email confirmation of this registration to the following email address:
Full information regarding payment will be given on following page.

Please review your entries now for any errors. Please make sure you have read over and checked this information, because you will not be able to go back and change it after you click SUBMIT .

Print out a copy of this page for your records.