Event Registration

2024 Fire Speaks – Tepoz Protection Ritual

Items with an asterick are required. Please read and check the box for the waiver at the bottom.

First Name: Last Name: Address: City: State or Province (US and Canada): Region or Province (outside the US and Canada): Postal Code: - Country: Email: Day Phone:

Attendees Being Registered

This form will allow you to register several people with one payment. You'll need to include yourself in the count if you will be attending, too.

Number of Attendees:

Include myself as an attendee:

Event Source

If you have a coupon, please enter code here (case-sensitive):

Waiver Statement:

You understand that your attendance this program implies your agreement to be photographed by program staff or their designees for purposes of publicizing future events or Sacred Fire itself unless you specifically state otherwise in writing.

If you are accompanied by an infant, children or minors under the age of 18 years, by signing this guest waiver, you agree that its terms apply to them as well as yourself.

I HAVE CAREFULLY READ, CLEARLY UNDERSTAND, AND VOLUNTARILY SIGN THIS WAIVER AND RELEASE AGREEMENT.

Yes, I agree

required fields