Please fill in this form, before you send us any money!

First and last name (*)

Badge name (* if different from your first and last name)

If you would like to register additional members of your household, please provide the information at the bottom of this form. Members with a different address have to be registered separately, please!

Address (*)

Address 2

City (*)

Postcode (*)

Country (*)

Phone

E-mail address (*)

Date of birth (*)

I am willing to help at the con: yesyes, but no physical workno

I would be interested in a concert slot (max. 30min).

I would like to offer a workshop / I have ideas for programming:

I register:

Meals:
I would like vegetarian meals.I would like vegan meals.
Number of veggie/vegan meals (in case of family registration/please give further info in comments if needed):
Added meals / meals for day guests:

I have intolerances / I am allergic to:

Rooms:
I would like to share the room with:

I do NOT want to share a mixed room.

I will pay by:
bank transfercash (please give further information — when, where? — in the comment function!)Paypal (Please note that additional costs will occur; we will inform you and ask you to pay the respective amount at the convention in cash.)

Please provide information for each additional membership:

First and last name (*)
Badge name (*)
Date of birth (*)
Child? (If your child is below the age of 16 and does not have to pay for their membership, please do fill out these fields if you want them to have a badge! You can also order “plushie badges” this way.)

First and last name(*)
Badge name (*)
Date of birth (*)
Child? (If your child is below the age of 16 and does not have to pay for their membership, please do fill out these fields if you want them to have a badge! You can also order “plushie badges” this way.)

First and last name (*)
Badge name (*)
Date of birth (*)
Child? (If your child is below the age of 16 and does not have to pay for their membership, please do fill out these fields if you want them to have a badge! You can also order “plushie badges” this way.)

First and last name(*)
Badge name (*)
Date of birth (*)
Child? (If your child is below the age of 16 and does not have to pay for their membership, please do fill out these fields if you want them to have a badge! You can also order “plushie badges” this way.)

I would like to leave you comments or messages:

I agree with the publication of my (badge-)name on the membership list of the website: yesno

I have read and accepted the terms and conditions as well as the privacy policy. (*)

Thank you for registering!
You will receive a mail acknowledging receipt of your registration as well as our payment information as soon as possible. Please remember that payment is due within 30 days after receiving our payment information; otherwise we have to cancel your reservation!)