Registration for Virginia Beach Bash 2013

Saturday and Sunday, March 16-17, 2013
at Regent University, Virginia Beach, VA

Printable Registration Form

all fields marked with an * are required

Beach Bash Registration

1. First Name:^*
2. Last Name:^*
3. Email Address:^*
4. Address:^*
5. City:^*
6. State:^*
7. Zip:^*
8. Phone:^*
9. Skill Level:^*
   
   Beginning
   Intermediate
   Advanced
   
10. Check here if you are interested in taking an SPR (Skill Proficiency Renewal). Yes interested in SPR
 
11. List weapons/styles in which you are interested in renewing proficiency:

12. Price:^* Please read carefully and select the most appropriate option
    listed below **(Unions that qualify for discount: AEA; SAG; AFTRA; Virginia Commission for the Arts)

    (Pricing for the 2013 Bash is subject to change.)

13. 2 Day Registration (Saturday & Sunday)
    
    $250.00 General Registration
    $225.00 Early Registration (ends March 1st)
    $240.00 Union Members (AEA; SAG; AFTRA)
    $220.00 Current SAFD Members
    1 Day Only Registration (Saturday or Sunday)
    
    $150.00 General Registration
    $140.00 Union Members (AEA; SAG; AFTRA)
    $130.00 Current SAFD Members
14. Please indicate your desired days:^*
    
    
    First Day (March 16th)
    Second Day (March 17th)
    Both Days (March 16th & 17th)
15. - 100% refund if withdrawal occurs before March 1st, 2013
    - 50% refund if withdrawal occurs before March 8th, 2013
    - No refunds after 5pm, on March 8th, 2013

16. Registration includes price of BASH T-Shirt. All registrants receive a free Bash T-Shirt, please select your size below. (Size not guaranteed, subject to availability.)

17. T-Shirt Size:^*
    
    
    Small
    Medium
    Large
    X Large
    XX Large
    XXX Large
18.  
19. Proceed to our secure online credit card payment form by selecting submit below.
20.  

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