Indiana Blacksmithing Association, Inc. 2015 Conference Registration
---PLEASE PRINT CLEARLY & FILL OUT COMPLETELY--Name ___________________________________________ _
Name(s) of others you are paying for:
Address __________________________________________
__________________________________________________
________________________________ _________
__________________________________________________
Phone ____________________________________________
Email _____________________________________________
Blacksmithing Association(s) you are a member of: _________________________________________________________________________
In Advance
One Day
Member of any Blacksmithing Association
Family Members
Non-Members
Family of Non-Members
Tinsmith Class
Saturday Buffet
Camping Fee - $20.00 per night per unit
Electric & Water Hook Up (Fairground Fees)
$30.00
$3.00
$35.00
$4.00
Weekend
At Door
One Day
Weekend
$42.00
$35.00
$5.00
$4.00
$47.00
$40.00
$6.00
$5.00
Registration and fees at conference
$9.00
$20.00
#
People
$47.00
$6.00
$52.00
$7.00
$10.00
$40.00
$20.00
Total
$
$
$
$
$
$40.00
TOTAL AMOUNT ENCLOSED
$
$
Check # _________________ Dated _____________ 2015
Please make checks payable to Indiana Blacksmithing Association, Inc.
Please reserve __________ spaces for the Beginner’s Class. Names: __________________________________________________________
Yes, I will help make the conference great with the following:
_____ Iron-In-The-Hat items
_____ Auction Items
_____ I will volunteer to be sold for a day
_____ I will enter the Done At Home contest
_____ Please give me tailgate space (NOTE: You must be registered for the conference)
_____ I would like to volunteer to be a videographer
_____ I will help setup on Friday
_____ I will help tear down on Sunday
SPECIAL NOTICE: A drawing will be held Saturday after the auction for two early registration prizes. (See page 2) Your name will be included in this
drawing only if your registration reaches us by May 20th , 2015. No other action is needed on your part.
RETURN YOUR REGISTRATION with check made out to Indiana Blacksmithing Association, Inc. to
INDIANA BLACKSMITHING ASSOCIATION, INC.
Farrel Wells, Registration Coordinator
8235 E 499 S
Dunkirk, IN 47336-8807
(765)768-6235
Confirmation will not be sent
Read and sign the wavier on the back side of this registration
This will save time at the registration table
Mail to:
INDIANA BLACKSMITHING ASSOCIATION, INC.
Farrel Wells, Registration Coordinator
8235 E 499 S
Dunkirk, IN 47336-8807
WAVIER
In consideration of the Indiana Blacksmithing Association, and it’s hosts and demonstrators, making these
demonstrations available and granting permission to enter the area of said demonstrations, I hereby waive all
claims for damage and/or loss to my person or property which may be caused by any act, failure to act, of the
Indiana Blacksmithing Association, its officers, agents, employees, and hosts and demonstrators. I understand
that there are inherent dangers in blacksmithing and I assume the risk of all dangerous conditions in and about
such demonstrations and waive any and all specific notice of the existence of such conditions. By signing this
waiver, I acknowledge that I have read and understand such waiver.
Signature: __________________________________________________
Date: _________________________________