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*** Ticket Sales are NOW CLOSED ***

To attend SpunOut please fill in this Registration Form. Please fill in one form for each person in your group or family.

Early-bird tickets available before Friday, 8th April, 2016.
Full price tickets available until Wednesday, 20th April, 2016.
All tickets are pre-sale only. NO TICKETS AT THE GATE!

For further details please refer to the Event Info page.



Your Details

First Name:  
Surname:  
Age (if under 18):  
Alternative Name:
(if you have one e.g. FireFlame)  
Email address:  
Preferred phone number:  
Residential address:

Are you vegeterian? Yes No
(If you have other special diatery requirements please provide your own food.)

Accommodation type:
Dormitory
Camping
Camper/Vehicle
Other (please specify):



Emergency Contact Details

Full name of contact person:  
Contact phone number:  
Their relationship to you:
(e.g. mother, brother, wife)



Disclaimer


You must accept the following disclaimer in order to be able to attend SpunOut.

SpunOut is a non-profit event. We do not carry insurance for any damage you may cause to yourself, others or property while participating in any of the activities organised for this event. All under 18's must be accompanied and supervised by an adult. This is a drug free event and anyone found to be in possession of or using drugs may be immediately ejected from the event without refund of their ticket.

I (please insert your full name) understand that I am wholly and solely responsible for any damage I may cause to myself, others or property, whether by accident or through dangerous behaviour, while participating in any of the activities organised as part of SpunOut. I agree to follow the safety guidelines as laid out by the organisers of SpunOut (as per the Event Info page) and to follow the directions of SpunOut staff while attending the event. I undertake all activities associated with SpunOut at my own risk and fully accept any associated consequences.

I accept the terms and conditions laid out above:

I have read and understood the Liability Waiver:


Date:

Please accept above to show that you have read, understood and agree to abide by the disclaimer.



Ticket Type


Please select below to indicate which ticket you require:



   

Ticket price

   




Adult

Weekend $200
  Day Pass - Sat $100
  Day Pass - Sun $100




Children under 12

Weekend $150
  Day Pass - Sat $75
  Day Pass - Sun $75




Children under 6

Weekend $65
  Day Pass - Sat $45
  Day Pass - Sun $45




Children under 2

Weekend free
  Day Pass - Sat free
  Day Pass - Sun free





Please note that no tickets will be sent out for this event. Once your registration form and payment are received, you will be sent a confirmation email and added to our list as a registered participant. When you arrive at SpunOut, all you need to do is check-in at the registration desk and have your name ticked off our list. Easy!

Which nights are you staying?


To help us with accommodation costs and meal planning, please indicate which nights you plan on staying overnight at SpunOut:

Fri-Sat-Sun Fri-Sat Sat-Sun Fri only Sat only Sun only None


Payment Information


Please tick a box for the payment method you have chosen.

Direct Deposit (Online or in Branch)

Bank:BankWest
Account Name: Hana Priest
BSB:306-042
Account Number: 0635940
Narration: Name of whom the ticket is for (must be the same as the name on the registration form).

When paying via online banking, please ensure the full name of whom the ticket is for is included in the "narration for payee" field (this must be the same as the name on the registration form. If you are paying for multiple people, do so in multiple transfers with the relevant name in each).

Cheque or Money Order
Cheques or money orders must be made out to "Hana Priest" and mailed to:

Hana Priest
Unit 28, 35 Winnacott Street
Willagee, WA 6156


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