AnimeIowa 2021 Registration form Please enable JavaScript in your browser to complete this form.Late Convention Registration PricingLate Registration Price good February 1 - May 31, 2021 ages 13 and older. . . . . . . .$55 Child Badge, Ages 6-12, (age is based on the first day of the 2021 Convention). Price good November 27 2020 - May 31 , 2021 . . . . . .$15 AnimeIowa Sponsor - The Sponsor Level Registration. Price good December 1, 2020 - May 31, 2021 . . . . . . .$150 First Name *Middle Name *Last Name *Badge Name *Regular characters only - 24 characters including spaces maximum (anything past 24 will be cut off during printing)Physical Mailing Address *City *State *Zipcode *Country *Phone *Must be the phone number of the person being registered. For Children 12 and under list the number of the parent.Email *EmailConfirm EmailE-mail Address Birthdate *All attendees under the age of 13 must have a registered Adult 18 and over with them at all times.Age on 7/30/20216 to 17 Years old18 Years and olderAge will be cross referenced with birthdate above.Registration MenuChild Registration -(ages 6 to 12) - $ 15.00Teen /Adult(ages 13 and over) - $ 55.00Sponsors - $ 150.00Select one choice onlyTotal Amount$ 0.00AnimeIowa Email List *YES!!noComment or MessageEmergency Contact (if under 18)If you were born after 07/30/2003 you must fill out the Emergency contact information below. You can not pick up your badge without this information being filled out. This person is the one we would contact if you were unable to communicate for yourself in case of accident or serious illness. Emergency Contact NameRelationshipPhoneBy purchasing this registration you are agreeing to follow all AnimeIowa and Mindbridge 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. Check the website for the complete Rules, guidelines and policies.Check accept to continue. *AcceptWebsiteRegister
