Jedi Gatherings Group

Gatherings Registration Form


If you would like to register to attend an organized Jedi Gathering use the form below. This is to help us in determining how many people will be attending along with many other details.

If you have any questions or concerns, please contact Moonshadow or Jedi Xhaiden by using the "Contact Us" form found on the home page of the website.

(Questions marked with an * are required.)

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1.  Online Handle(s)
     


2.  *Real Name (first and last)
     


3.  *Preferred Name or Nickname (what name you prefer to be called in real life)
     


4.  *E-Mail Address
     


5. Home Phone Number            Cell Phone Number
              


6. City/State/Country
     


7. Age
     


8. Birthday (Month/Day/Year)
     


9. Jedi Gathering for which you are registering (e.g. Ohio 2006)
     


10. How certain are you of making it to the Gathering?
      Definite (barring any unforeseen circumstances)
      Very Likely
      Slight Possibility
      Will not be able to make it



11.  Primary method(s) of transportation:
      Car
      Bus
      Plane



12. Do you need assistance with transportation?
     Yes
     No
     Maybe


13. Will you be carpooling with other people?
     Yes
     No
     Maybe


14. If applicable, please list the people currently in your carpool. (Any people in your carpool, including minors, will need to fill out their own Jedi Registration forms.)
     


15. If carpooling, will you be the primary driver or a passenger?
     Driver
     Passenger


16. Are you able to provide carpool for other people?
     Yes
     No


17. If so, then how many additional people can you provide transportation for beyond those you are already carpooling with, if any?
     


18. List any dietary restrictions you may have (eg. vegetarian, vegan, no pork, etc)
     


19. List any workshops or events that you would like to participate in as a learner.
    (These can be anything from energy work workshops to discussions on Jedi codes to martial arts techniques.)
     


20. List any workshops or discussions that you would like to LEAD.
     


21. If applicable, please list your qualifications for leading the workshop(s) listed above.
    You don't have to be an expert, but you do have to have a firm understanding and have to
    be competent enough to insure that you will not be passing on wrong information.
     


22. Do you require financial assistance to attend the Gathering?
     Yes
     No
     Maybe


23. If applicable, please indicate details below.
     


24. Can you provide any financial assistance for anyone attending the Gathering?
     Yes
     No
     Maybe


25. If applicable, please indicate details below.
     


26. Do you own a tent?
     Yes
     No


27.  If so, how many people does it hold and are you willing and able to provide space for others?
     


28. Please list any food or equipment that you can provide or share with the group.
     


29. Please write any additional notes, questions, or suggestions below.
     

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