Singles Registration Form

Contact Information

How did you hear about the Shindig?

Name *

Age *

Gender *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone *

Cell Phone

Email Address *

Registration Type

Registration Type *

Meal Selections

Meals Selection *No MealsAll MealsSome Meals

Do you require gluten free meals? *YesNo

Specific Meals *Thursday – Supper ($11)Friday – Breakfast ($9)Friday – Lunch ($10)Friday – Supper ($11)Saturday – Breakfast ($9)Saturday – Lunch ($10)Saturday – Supper ($11)Sunday – Breakfast ($9)

Housing

Number of Nights

Select Specific Nights *Wednesday 9/9Thursday 9/10Friday 9/11Saturday 9/12Sunday 9/13(Shindig days are from Thursday 12p – Sunday 12p)

Select Housing *

RV Hookup *

RV Electric *

RV Length *

Sold out notice

RV sites are currently sold out. Please acknowledge this notice, select a different housing option to continue your registration, and contact Angela Hovland at (307) 388-0933 to be added to the RV site waiting list.

Sold out *I understand

Second housing option *

If you need handicap accessibility or other considerations please note that here or call us at (307) 388-0933. (Please type N/A if you do not need any considerations.)

Total $ Due

Non-Refundable Shindig Registration Fee

Meals

Housing

Total Due

Please do not fill in this field.