Merriment Mandate

SWEFA - Southwest Earth Festivals Association

SWEFA EMG PayPal Form

SWEFA Enchanted Moutain Gathering (EMG) August 5th through August 8th, 2010

Use this electronic Form if you are paying with PAYPAL.

Your EMG voucher will be mailed to you along with site location and directions.

ONLY ONE ADULT voucher per Merriment Mandate registration form.

There will be no vouchers sold at the site gate.

We suggest that you please print out the EMG Welcome Information

And the Merriment Mandate Registration (MMR) Form

You may pay for multiple registration forms in one Paypal session. It is

easier for you and Paypal charges SWEFA a smaller percentage. Just

reference the same Paypal receipt number in each registration form you paid for.

Southwest Earth Festival Association

SWEFA Enchanted Mountain Gathering (EMG) 2010

MERRIMENT MANDATE REGISTRATION FORM

(ONE Participant over the age of 18 per form – Please type or print clearly)

NOTE: SWEFA requires a signed waiver for each attendee of age 18 and over. Registration forms are NOT transferable.

PLEASE READ CAREFULLY BEFORE SIGNING THIS WAIVER
1. I have read the entire EMG Welcome Registration packet and agree to comply fully with SWEFA EMG guidelines, policies and local, state, federal and Forest Service policies, laws, and regulations.
2. I agree to sign up for and perform at least one one-hour shift of community service during the course of SWEFA EMG.
3. I will not bring any person who is not pre-registered to SWEFA EMG. All minors under my care and at this festival are identified by name at the bottom of this form.
4. I assume full responsibility for my personal welfare, personal property, and any minors who are under my care at SWEFA EMG under all circumstances.
5. I will not hold the members and/or staff of Children’s Astral Sanctuary of Healing Earth Wisdom  (CASHEW) or SWEFA, as an organization, nor the United States Forest Service, and/or any of its staff liable for any personal injury or loss occurring to me, or any minors under my care, as a result of my/their participation in or in connection with SWEFA EMG under any circumstances.
6. I assume all responsibility for my conduct related to the SWEFA EMG Village environment, including its protection and conservation.
7. I understand that any medical, childcare or other services at SWEFA EMG I choose to use for myself or minors in my care is totally at my own risk.
8. I understand that if I and/or any minors in my care choose not to comply with SWEFA EMG guidelines, policies and/or the rules of the SWEFA EMG Village and its administrators, I/we will be asked to leave without refund and I agree to comply.
9. I understand and am aware that there are risks involved in my participation in SWEFA EMG, including but not limited to the rugged nature of the site, and take full responsibility for my safety and well being as well as the safety and well being of any minors in my charge. I agree not to sue and/or press any actions or claims against CASHEW, SWEFA, Coordinators, Silver Moon, and its agents for any injury, loss or illness occurring to me or to anyone through whom I may claim at said event RESULTING FROM ACCIDENT, NEGLIGENCE OR MY PARTICIPATION IN ANY AND/OR ALL ACTIVITIES sponsored by or related to SWEFA EMG. This agreement is binding upon my heirs, executors and assigns.
10. My signature indicates I have read and understood the foregoing.

Your picture ID and signature agreeing to these rules will be required at the Site Gate.

Email address:

(required to e-mail your SWEFA voucher to you.)

In Case of Emergency (ICE): Name and phone number:

Phone Number with Area Code:

Please indicate below your PayPal Confirmation Number and the number of Minors you have included on this Registration Form.

Note: Your Receipt ID from PayPal is Required to use this form.

Please check any and all boxes that apply to the following statements. Thank you.

I am a first time attendee.

Minors will attend in my care, and are listed on this form.

I will be arriving in an RV or with a pop-up.

I am 18-20 years old. Picture ID will be required at the gate.

I am 21 years old or older. Picture ID required at gate.

I will be driving my own vehicle, not an RV.

I will be carpooling with another participant.

I need to camp in a handicapped accessible area,

Best way to contact you:

_________________________________________________________________________________________________________________

Please list all MINORS (under 18 years old) attending SWEFA EMG under your care. (Please indicate if an infant.)

If you are the parent and/or legal guardian of the listed minors, no guardian form is necessary.

If you are not the parent or legal guardian of the listed minors, a notarized release form signed by both the parent(s)/legal guardian(s) giving permission for you to bring the minor listed below to SWEFA EMG must be presented at the Gate. Included on this form must be the name(s), address(es), and telephone number(s) of the parent(s)/legal guardians(s).

Legal Name and Age of Child 1