Festival 51 - Individual Registration With Different Purchaser Form

Before you begin filling out the form below, please read the following paragraph. This form is for people only registering themselves for the festival and having someone else pay for them. You will need to know your Purchaser ID. You can obtain that from the person paying for your registration.

If you have any questions, please email Terry Dana Jachimiak II at webmaster@kcactf2.org.

2019 KCACTF Region 2 Individual Registration/Separate Purchaser

If you are human, leave this field blank.

Registration Information

First Name *

Last Name *

School Name *

Cell-Phone Number *

Email *

Status *

Student

Faculty

Other

Registration Rate *

$80.00 (Early Bird - Until November 9th) $90.00 (Regular - November 10th to December 7th) $100.00 (Late - After December 7th)

$100.00

Your Registration Number

Volunteer Status

If students plan to volunteer, they will have received a link for the Festival Registration Form for Volunteers. Before they receive that link, they will need to fill out the Volunteer Application and be approved. LINK TO VOLUNTEER APPLICATION. For inquiries about volunteer application status please contact volunteer@kcactf2.org.

Purchaser ID Number (This number was emailed to purchaser after completing the Purchaser Registration Form) *

**HIT TAB ONCE YOU HAVE TYPED IN THE NUMBER. IT WILL AUTO POPULATE THE REST OF THE FORM BELOW** This number was assigned to the person who will be paying for your registration, be it an administrative assistant or faculty member. Without this number you will need to pay individually.

Registration Payee Information

Purchaser Name *

Purchaser Email *

Purchaser Phone *

Purchaser Address 1 *

Purchaser Address 2

Purchaser City *

Purchaser State *

Purchaser Zip *

Note if you’re having computer problems contact webmaster@kcactf2.org.