*** NOTICE: THIS PAGE WILL NOT SUBMIT INFORMATION TO THE ADMINS OF THE 2005 CASTLE LARP. ***

Note: All fields are required.

E-mail Address:
Full Name:
Mailing Address Street/Apt:
City:	State: Zip:
Phone Number:
Will you be Camping or sleeping in the Castle:
Food Restrictions Allergies Medical Conditions Medications:
Emergency Contact Name: (Someone not at castle)
Emergency Contact Phone:
Character Choice 1:
Character Choice 2:
Character Choice 3:

NOTICE: Requests are processed in the order which the payment is recieved.
You will recieve payment information via E-mail as your request is processed.