Playa | Dark Sky Registration
Please have every person in your party fill out this form so we can better accommodate you.  If you have accessibility barriers please call Trina or Chelsea to register over the phone at 541.943.3983.
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First Name
Last Name
Who else is in your party?  First and Last Name(s)
Phone Number
Email Address
Full Address (e.g., 47531 Hwy 31, Summer Lake, OR 97640)
Do you have a creative practice that incorporates themes related to dark sky, astronomy, star gazing, etc.? If so, what do you do?
Do you have accessibility needs? (i.e. ADA, no stairs, hearing impaired)
How did you hear about this event?
Dietary Information: If food is being prepared for you at Playa. Please mark if you have a life-threatening, severe food allergy.
Emergency Contact Information for your party (Name, Phone, Address, Email)
Would you like to be added to our Newsletter?
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