PRE-REGISTRATION FORM:

Mundane Name: ________________________________________________________________


SCA Name: ____________________________________________________________________


Membership Number: ___________________________________________________________


Email: _______________________________________________________________________


Phone Number: ________________________________________________________________


Number of Adults (member):  		________X $18.00	=	$_____________

Number of Adults (non-member):  	________X $23.00	=	$_____________

Number of Children:  			________X $13.00 	= 	$_____________

							Total 	= 	$_____________

Make checks payable to: SCA-The Barony of Andlecrag
Send to:
A Day at the Castle Pre-Registration Department
c/o Heather Hemphill
5776 Sugarberry Dr. SE
Kentwood, Mi 49512