Walldog Registration Form

Your Name:

E-mail:

Phone:

Address:

City:

State/Province:

Select state/province Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ------------ Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

# in your group:

T-shirt size(s)

Lodging Choice:

Local Family Camping Hotel (not provided by town) I sleep in my big orange van

Additional Comments:

Please be sure to list any special lodging needs you may have i.e. smoker, double bedding, sleepwalker, whatever may be important to the family that may be housing you.

Registration for this event ended on July 1st 2010.

We strongly suggest that you register or book a hotel early. 

We will contact you before the event to finalize any lodging plans.

For artists that wish to pay for their own lodging instead of staying with a local family.  We suggest the Days Hotel & Conference Center at (217) 443-6600. If you say you are with the Walldogs group you can take advantage of a special rate on your room until July 20th.