Register

Given Name: Middle Name/Initial: *Surame: Badge Name: (Leave blank if you want the legal name to be the badge name.) *Street Address: *City: *State/Province: *Zip/Postal Code: *Country: Home Phone: E-mail Address: (If this membership is for a child under 13 years, please enter in a guardian's e-mail address instead). Would you like to be added to the Rustycon Members e-mailing list? (No spam, we promise - just Rustycon Announcements and such) Is the attending member 18 or older? Would you be willing to volunteer to help us at Rustycon? If so in what areas would you like to assist: Membership type: Adult $40 Child 6-12 $20 Infant -6 *Free* Discount Code: Guardian Name: The guardian whose name is listed here will be REQUIRED to sign a release form when the child/teen picks up their badge. Signing this form also indicates that the person responsible has read and agrees to Rustycon's policies on minors attending the convention. This registration form must be signed or the child/teen's registration WILL NOT be processed.