Registration Form

Name: Sierra Renaissance Society
Address: 312 Main St #201, Placerville, California, 95667

Please fill in the required fields of the registration form and click the "Register" button when done.

Date(Required)

Time(Required)

Name(Required)

First Last

Name of Spouse or Partner

First Last

Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Phone(Required)

Email(Required)

Spouse or Partner's Email

Comments/Questions

How would you like to pay?(Required)

Check

Credit Card