Shibaricon 2010 Registration

Shibaricon 2010 Registration: Standard Stuff *ALL RED FIELDS ARE REQUIRED!*
Important: Do not close your browser window until payment is complete, you may have to start over!

Please note that you must provide your legal name and correct address information. Upon arrival at Shibaricon you will be required to show valid, current government-issued ID. If your information does not match you will not be allowed entry into the event and will forfeit all registration fees.
First Name
Middle Initial
Last Name	You may choose an alias to appear on your badge below.
Address Line 1
Address Line 2
City
State/Province
Zip/Postal Code	If not applicable, enter a 0.
Country
Phone Number
Email	We will use this email address to invite you to the Yahoo group, so make sure it is an address that will accept the invitation.
Badge Name
Birth Date	Use the format MM/DD/YYYY You must have been born on or before March 10, 1992 to register.
Emergency Contact & Medical Alert Info	OPTIONAL. Please provide an emergency contact & any medical information you would want us to have in an emergency. This will remain confidential.
Registration Type	Full Conference price valid through Sat Mar 13 23:59:59 PST 2010
Comp Code	If you are registering more than one person, be sure you enter the correct comp code for the correct person. NOTE - Paying attendees should leave this field blank. Paying attendees do NOT have a comp code.
I would like to be a goodwill volunteer	Please see shibaricon.com for details
Each Shibaricon registration is registered in the name of the person making the registration (the "Registrant") unless the registration is a gift, and all registrations are non-transferable. Each Registrant must produce valid identification upon checking in at the event and at any time during the event as may be requested by Shibaricon personnel. Identification must match the name under which the individual was registered. If the identification does not match the Registrant's registration information, the registration immediately will be void and no refund will be given for any portion of the Registration fee paid. A registration purchased for another person will be considered a gift and property of the named Registrant. (Think of it similar to an airline ticket.)

I agree to have valid identification for the above name.

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