Registration - The Spirit of the West Druid Gathering

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The Spirit of the West Druid Gathering Registration Form

Important - Before completing this form, please Read the Rules and Regulations

If you will be bringing your dog(s), please download and complete the Dog Registration Form/Agreement

Personal Information

Your contact information will be used only by the Organizing Committee to contact you in regards to the Spirit of the West Druid Gathering and to perform administrative functions. No part of the information you provide on this registration form will be provided or sold to any third parties.

Your legal name must be provided for registration, but you can provide a different name to be put on your name tag. Your legal name will not be shared with anyone outside of the Organizing Committee.

Primary Registrant:

First and Last Name: Name tag should read:

Secondary Registratant:

First and Last Name: Name tag should read:

Mailing Address (Please include city/town, province/state and postal code/zip code!)

Primary Telephone Number:

Mobile Telephone Number:

Your Email Address:

In case of emergency, please contact:

Please include the name, telephone number and relationship of your emergency contact person

Child Information

If registrant is not the parent or legal guardian of all minors, you must attach a separate sheet with the Name, address telephone number and signature of parent or legal guardian granting permission to attend the Druid Gathering

I AM THE PARENT OR LEGAL GUARDIAN OF ALL MINORS LISTED:

Child 1
Name:
Age:
Medical Conditions?

Child 2
Name:
Age:
Medical Conditions?

Child 3
Name:
Age:
Medical Conditions?

Child 4
Name:
Age:
Medical Conditions?

Accommodations (Space is limited and will be allotted by date of receipt)

1st Choice of Accommodation:

2nd Choice of Accommodation:

I would like to be placed with/near the following people:

Meals (All meals will be vegetarian friendly)

I have special dietary requirements (please specify)
I have food allergies (please specify)

Medical Information

I have a medical condition (please provide details)
Please include information about what medical personnel need do in case of an emergency

I am taking the following medications:

Volunteer Information

In order to keep festival costs minimal, attendees are expected to volunteer their time. All attendees over the age of 12 are required to do a minimum of two one hour shifts of volunteer time. Please indicate your preference for your shift or one will be assigned to you. Please know you will be required to sign for the volunteer time upon arrival.

Please let us know if you have any medical conditions and we will be happy to work with you to find a volunteer position which will be accommodating for you.

Meal Preparation/Cleanup
Lodge Cleanup
Dishes and Kitchen Cleanup
Late Night Lodge Cleanup
Washroom and Showers Cleanup
Security
Childcare (Childrens events)
Medical/First-Aid Duty (must have current certification)

I have certification for Medical/First Aid Duty (please provide type of certification and date issued in the field below)

I prefer to volunteer during the following shift(s):

Mornings
Mid-Day
Evenings

Payment Information

Please make checks or money orders payable to: The Druid Gathering

Adult/youth (13 and Older) $90.00ea Quantity:
Children (age 6 to 12) $35.00ea Quantity:
Vendor Fee $25.00ea Quantity:

Total:

I paid online with PayPal and my confirmation number is:

Acceptance of Camp Rules and Regulations/Disclaimers

By clicking this checkbox, I acknowledge that I have read all of The Spirit of the West Druid Gathering's "Camp Rules" and I understand that while I'm attending The Spirit of the West Druid Gathering I am responsible for my own safety and behavior, and any minors in my care. I understand that failure to follow the "Camp Rules" may result in my being asked to leave the festival site and that in that event, no refund will be provided. Further I will not hold The Spirit of the West Druid Gathering responsible for any injuries or events that happen to myself or others (animals and/or children) in my care.

Additional Comments: