Registration Form for DID 2012

Fill out the registration form below.
When you hit 'submit form' you'll be taken to a paypal payment page.
You do not have to have a paypal account, they also accept credit cards.
The price is $150.00 for entry. Kids 12 and under are half price.
If you have already sent a registration form, and want to pay now, click here.

Name:
address
daytime phone
evening phone
best time to call
Email Address:
expected arrival date
camping on site?
number in party?
age? (under 18 must be accomp. by parent or legal guardian)
group camping with?
prefered camping area
size of tent
do you need hotel/b&b info?
emergency contact
any medical cond, allergies, medications we should be aware of?

form creator