Online Registration Fields marked with an asterisk (*) are required. *First Name: *Middle Name: *Last Name: *Badge Name (regular characters only, 24 maximum): *Mailing Address: *City: *State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *Zip: Country: Phone:(###)###-#### *E-mail Address (does not have to be your PayPal address): *Date of Birth (MM/DD/YYYY): All attendees under the age of 13 must have a registered Adult with them at all time. Registration Level Cost Pre-registration: through 02/28/17 $45 Late Registration: 03/01/17 - 05/31/2017 $50 Child Badge (ages 6-12, price is for both Pre-reg and at the door): 12/01/16 - 05/31/17 $15 At the Convention $TBD Sponsorship plan (includes t-shirt, any workshop material fees,good cosplay seats, etc.) Learn more on the Sponsorship Program page: 12/01/16 - 05/31/17 $150 *Registration Level: LateReg Child Sponsor *T-shirt ($15;free with sponsorship): None Small Medium Large XL 2XL 3XL Womens Small Womens Medium Womens Large Womens XL Womens 2XL Womens 3XL Women's sizes only available with pre-registration, not sold at con Notes: Emergency Contact (if under 18) Name Relationship Phone:(###)###-#### Please read all Registration and badge policies listed at http://animeiowa.com/registration/registration-and-badge-policies/ By purchasing this registration you are agreeing to follow all aforementioned policies. At any time should you be in violation of the listed policies, you may be asked to surrender your badge and/or leave the premises for the duration of the weekend.