Heartland Pagan Festival

Registration: HSA Membership Application - 2016-2017

Each person must complete an individual Membership Application.

USER INFORMATION
Discount Code:
Legal First Name:
1
Legal Last Name:
1
Preferred Name:
Birthday (eg. mm-dd-yyyy):
Address:
Address 2:
City:
State:
Zip:
Phone (eg. xxx-xxx-xxxx):
Alternate Phone:
Email:
By selecting here, I agree to these terms.:
  I understand that my committee selections are preferences, and that I may be assigned to any of them or to any other committee depending upon the needs of the organization.  
First Choice:
Second Choice:
Third Choice:
Type of Member:
By selecting here, I agree to these terms.:
  Every HSA member is required to contribute a minimum of 20 hours of work to one or more of our committees during the festival, or for setup & teardown immediately before or after festival.  
I agree to the terms and conditions:
Read Terms & Conditions