Online Registration Fields marked with an asterisk (*) are required. *First Name: *Middle Name: *Last Name: *Badge Name (regular characters only, 24 maximum): *Physical 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 18 and over with them at all times. Registration Level Cost Black Friday Special Registration: 11/23/18 - 11/26/18 $35 Pre-registration: 11/27/18 - 01/31/19 $45 Late Registration: 02/01/19 - 05/31/2019 $55 Child Badge (ages 6-12, price is for Pre-registration and at the Convention): 11/23/18 - 05/31/19 $15 At the Convention $65 Saturday Day Pass - Good from 10:00PM Friday night to 2:00AM Sunday Morning. For Sale at the Convention beginning at 5:00PM Friday. $45 AnimeIowa Sponsor - The Sponsor Level Registration includes t-shirt, sponsor gifts,good cosplay seats, and more. Learn more on the Sponsorship Program page: 11/23/18 - 05/31/19 $150 *Registration Level: LateReg Child Sponsor *T-shirt ($20; free with Sponsor registration): None Sm Med Lg XL 2XL 3XL W-Sm W-Med W-Lg W-XL W-2XL W-3XL Women's sizes are only available with AnimeIowa pre-registration, they are not sold at the convention 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.