Pan-Hellenism Weekend 2017 Registration Form

Registration Instructions:

Form Instructions

 

Email Address Confirm Email Address
       

First Name Middle Last Name Suffix
   
Street Address (Line 1)
 
Street Address (Line 2, if applicable)
City State ZIP
     
Date of Birth (Year and Month Required.
Day Required if Birthdate is November 1996 or 1999
to check for 18/21.)
Gender
       
 
Home Phone Mobile Phone
 
Emergency Contact's Name Emergency Contact's Phone
     

How many previous
Pan-Hellenism Weekends
have you attended? (max 8)
I wish my registration and any
additional donation I make
(see A la Carte Items) to be
credited toward the following
Pan-Hellenism Weekend Cosponsor:
(If other please specify)
     
When are you arriving? How are you getting here?  When are you leaving?
            

Will you need bussing to local events? T-Shirt Size
   

LIABILITY WAIVER

I expressly acknowledge that I am holding harmless the organizers and consponsors of Pan-Hellenism Weekend 2017 (including but not limited to DCGreeks.com, LLC, its employees, managers, owners and agents, and all their collective officers, directors, contractors, agents, employees, and volunteers, without regard to any negligence on their part, against any claim for injuries, damages, compensation or otherwise, including all losses and expenses, caused by or to me in registering for or participating in Pan-Hellenism Weekend 2017.  I voluntarily assume the risk of injury, accident, death, loss, cost or damage to my person or property that might arise from my registration for and/or participation in Pan-Hellenism Weekend 2017 or any related events.  My refusal to agree to the terms of this waiver will result in my exclusion from all events and my registration fees being refused or refunded.  I understand that my registration will not be accepted without this acknowledgement.

 

Notes:

NOTE: All tickets purchased online for the Saturday Night Bouzoukia (individually or as part of a package) for attendees 21+ include a free drink for the first 500 tickets purchased.

Plase Select Package:

Select OnePackage NameItems IncludedPackage Cost
Classic Package (2017-09-26 Price)
11/3/17 Friday Greek Night (Location TBA) (Price on or before 10/31/17)
11/4/17 MezeMania Saturday Afternoon Happy Hour
11/4/17 Saturday Late Night Bouzoukia (Location TBA) (Price on or before 10/20/17)
11/5/17 Sunday Farewell Greek Night (Location TBA)
72.75
Friday-Saturday Package (2017-09-26 Price)
11/3/17 Friday Greek Night (Location TBA) (Price on or before 10/31/17)
11/4/17 MezeMania Saturday Afternoon Happy Hour
11/4/17 Saturday Late Night Bouzoukia (Location TBA) (Price on or before 10/20/17)
65.75
Saturday-Sunday Package (2017-09-26 Price)
11/4/17 MezeMania Saturday Afternoon Happy Hour
11/4/17 Saturday Late Night Bouzoukia (Location TBA) (Price on or before 10/20/17)
11/5/17 Sunday Farewell Greek Night (Location TBA)
62.75
No Package (Purchasing Events a la Carte)
0.00

A la Carte Items

SelectA la Carte ItemCostSubTotal
11/3/17 Friday Greek Night (Location TBA) (Price on or before 10/31/17) $15.00 $
11/4/17 MezeMania Saturday Afternoon Happy Hour $5.00 $
11/4/17 Saturday Late Night Bouzoukia (Location TBA) (Price on or before 10/20/17) $55.00 $
11/5/17 Sunday Farewell Greek Night (Location TBA) $15.00 $
$5 Donation to Pan-Hellenism Weekend Cosponsor Specified (will be matched by DCGreeks.com) $5.00 $
   Total A la Carte Item Cost: $

Total Cost for this Registration: $  

To help the organizers better plan for the events taking place during Pan-Hellenism Weekend, please select all of the events which you are interested in attending. (Check all that apply)



What would you like to do?