Mountain Mysteries Beltane Festival ~ April 30, May 1&2, 2010

Heavenly Acres Campground, Stanardsville, VA

  
Legal Name  

Spiritual Name

Date of Birth  

E-mail address  

Mailing address

Please list the names and ages of any minor children attending with you


Please list any medical conditions you have that we should be aware of :


Do you wish to be added to our mailing list and informed of future events?

How did you hear about our festival?

Please list your car license plate number and state (for security purposes):

Have you ever been convicted of any sexual offense involving a minor, or the use of coercion and/or force?  Yes You may not attend!     

Who will be your emergency contact?

Their phone number

The Mountain Mysteries Mabon Festival is an outdoor camping event. The site is considered primitive.  As a primitive setting, there are a great many obstacles to be encountered.  Hazards are found in plant, animals and Earth based forms. No assurances for personal safety can be made. I understand the premises and conditions that surround my being. I assume all risks and take full responsibility for my actions in said primitive surroundings while attending the Festival. This includes the effects of falls, the elements of weather and fire, contact with vegetation, insects, wildlife, or other festival participants. Having read this waiver and understanding fully my surroundings and am in total agreement with said conditions I hereby release the Mountain Mysteries Manifestations, llc and Heavenly Acres Campground from any claims and liabilities of any kind arising out of my participation in said event.  The festival will occur rain or shine.  I understand my registration fees are non-refundable.

* Please note: Due to the increased insurance costs and safety issues, DOGS AND OTHER ANIMALS ARE NOT ALLOWED. Naturally, registered service animals are welcome if accompanied by appropriate paperwork and vaccination records.  Out of respect for all attendees, if you try to sneak your pet in, you will be asked to leave. We thank you for your cooperation.

By submitting this registration form, you agree to abide by all of the rules and regulations set forth by Heavenly Acres Campground and  Mountain Mysteries Manifestations, llc.
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