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Friday, October 14, 2011 to Sunday, October 16, 2011 Moran State Park, Orcas Island, Washington |
$35 per person includes meals and sleeping quarters.
Children 16 and under are free when accompanying parents or guardians.
Make checks or money orders payable to Irminsul Ęttir. Mail with completed registration
form(s) to: Althing 2011, Irminsul Ęttir, P.O. Box 43, Renton, WA 98057-0043. Please
print clearly.
______ Persons registering
______ <- Total amount enclosed
Name(s):________________________________________________________________________________
Address:________________________________________________________________________________
Phone: (Day)_______________________________ E-mail: ________________________________
Total number of adults in the party: ______ Number of children (16 and under): _____
[ ] Food allergies, or other medical conditions or issues, which may need accommodation
(information will be kept strictly confidential):
[ ] Emergency contact (3rd party or relative not attending event to be notified in case of an emergency):
For the following, inquire further via Asatru_Althing@comcast.net:
[ ] I would like to present a discussion, workshop or ritual.
[ ] I/we would like to reserve a vending area.
[ ] I/we would like to reserve an area for tent camping.
Please contact us prior to arrival as tent camping may be restricted on short notice.
By my/our signature(s) hereon, I/we understand that as a participant in Althing 2011, I/we agree to follow all rules
of the Althing, including, but not limited to: (1) all existing Federal, State, local laws, and rules of the camp
grounds (to be posted); (2) all illegal substances are strictly prohibited; and (3) conduct that is purposefully
disruptive will not be tolerated.
I/We assume full responsibility for myself/ourselves my/our property, and any minors under my/our supervision at all
times. I/we release and hold harmless the Irminsul Ęttir, State of Washington Parks Department, their directors,
officers and agents of any responsibility in connection with my/our safety and well being as well as the safety and
well being of any minors in my/our charge. This waiver covers the period October 14, through October 16, 2011
inclusive. Responsibility for travel to and from the Althing remains with me/us Furthermore, I/we take full
responsibility for any damage to the grounds and adjoining areas used by me or members of my/our party. Having read,
understood, and agreed to the above, I/we sign this document with no reservations or expectations of compensation of
any kind.
________________________________ ________________________________ ________________
Print name Signature Date
________________________________ ________________________________ ________________
Print name Signature Date
I am the legal guardian for, ______________________________________, who is a minor,
but over sixteen, and hereby give my permission for him/her to attend Althing 2011
unaccompanied and agree to the above conditions.
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