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TASSP Registration Form
All State Party 2010
Dates: March 12-14, 2010 Cost: $ 40 single females, $80 couples, $90 single males Where: Dallas, Texas. Details will be sent via email and/or snailmail (if so requested) upon receipt of your forms and fees. Theme: Spankstock! (Like Spanking Woodstock) Print the registration and mail it with a check or money order made out to Paul Rogers: Paul Rogers P.O. Box 830745 Richardson, Texas 75083-0745 Checks, money orders and cash are fine; I don't have Pay Pal. DEADLINE MARCH 7, 2010!! TEXAS ALL-STATE SPANKING PARTY REGISTRATION FORM Name (Last, First) _________________________________________ Street address or dependable email address (Make SURE this is right. Your party information will be sent this way. You can supply both if you wish.) __________________________________________________ ___ __________________________________________________ ___ Emergency contact: (name) ____________________________________ Emergency contact phone: __________________________________________ Scene Name: (For name tag) __________________________________________________ _________________ Circle one: Top / Bottom / Switch / Observer Circle one: Male Female Birthdate: ______________________ Check any that apply: _____ I am a vendor and would like to be part of the vendor fair. _____ I am a single lady and would like to stay in one of the "sorority rooms." _____ I am new and would like a "mentor.” ALL OF THE ABOVE INFORMATION, WITH THE EXCEPTION OF THE INFORMATION ON YOUR NAME TAG, WILL BE KEPT STRICTLY CONFIDENTIAL. IF YOU ARE A MARRIED COUPLE, YOU MAY SIMPLY STATE THE NAME OF YOUR SPOUSE AS YOUR EMERGENCY CONTACT, IF HE/SHE WILL BE AT THE PARTY ANYWAY. My signature below certifies that I have read the party rules and agree to abide by them. I will hold the All-State Party organizers harmless for any injuries or accidents to my person, regardless of the cause of same, including, but not limited to any injury or accident caused solely by the negligence of the organizers. I will hold the organizers harmless for any lost or stolen items of personal property that belong to me. I will be responsible for any accidents, injuries, or damages to any persons or property caused by myself or my actions. I certify that I will not be under the influence of any illicit or mind-altering drugs at the party. __________________________________________________ ____ ____________ |
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