First Name *
Last Name *
Nickname
Street Address *
Mailing Address (if different from above)
City *
State *
Zip Code *
Phone Number (best) *
Alt Phone Number *
Email (best) *
Gender *
Date of Birth *
CPR/First Aid Certified? *
Will you be driving to the Festival? *
Room to Carpool? *
If Yes, How many?
T-Shirt Size *
Emergency Contact Name *
Emergency Contact Phone Number *
Medical Conditions (if any) *
By submitting this form you agree to the following:
A) a total of 16 hours during, or B) a total of 24 hours before and/or after Earthdance 2008 in exchange for one general admission ticket, reserved camping, & an Earthdance 2008 Staff T-shirt.
in exchange for one general admission ticket, reserved camping, & an Earthdance 2008 Staff T-shirt.
I understand that:
I understand that as a crew member, I represent Earthdance and will act in a manner that reflects positively on the event.
I understand that if I don't fulfill my commitment, I owe Earthdance the price of one (1) full weekend ticket, camping, and a T-shirt.
I understand that during the event, I may be filmed, videotaped or photographed by or on behalf of Earthdance or Black Oak Ranch for marketing or commercial purposes. My admission to Earthdance serves as my permission for use of my image without compensationby Earthdance and Black Oak Ranch for any and all future marketing or commercial purposes.
The commercial use of photographic, video and film images of Earthdance is strictly prohibited without the full written consent of Earthdance Northern California.
I understand that my legal name will be on a list at Krew/Staff Check-in for my admittance to the event.
I understand that all Krew Members must have valid state or federally issued photo I.D. at Check-in. Krew Members who do not have valid identification will be denied entry.
** WAIVER: In consideration of participating as a Krew Member at Earthdance, I intend to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims that I may have against the persons or organization affiliated with this project and any and all injuries suffered by traveling to or from or while participating in any Krew Member activity associated with Earthdance and Black Oak Ranch.