Please fill out the order form below. Early Bird Registration is good through April 1, 2025

CIRCNA XXVI REGISTRATION

Early Bird Registration
On or before April 1, 2025 (Save $10)
Price Ea.
$
30.00
Item Total
$
0.00
Child Registration
Non-addicts 10 & under. 10pm CURFEW.
Price Ea.
$
7.00
Item Total
$
0.00
Child Registration
Non-addicts under 11-17. 10pm CURFEW.
Price Ea.
$
7.00
Item Total
$
0.00

ENTERTAINMENT

Friday Bingo - 10pm
Price Ea.
$
15.00
Item Total
$
0.00
Saturday Bingo - 10am
Price Ea.
$
15.00
Item Total
$
0.00
Saturday Night Comedy Show - 10pm
Adult content. Not appropriate for children/teens
Price Ea.
$
20.00
Item Total
$
0.00

PREREGISTRATION MERCHANDISE

Cotton Canvas Duffel Bag*
*Items are subject to change.
Orders must be placed by June 1, 2025

Price Ea.
$
45.00
Item Total
$
0.00
Throw Blanket*
*Items are subject to change.
Orders must be placed by June 1, 2025

Price Ea.
$
20.00
Item Total
$
0.00

NEWCOMER DONATION

Newcomer Donation
Donation amounts with change will be rounded to closest dollar

REVIEW YOUR ORDER

SUB-TOTAL
$
0.00
TOTAL
$
0.00