Registration only by invitation Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNumber of adults (21 years and older) *01234List full names of all adult attendees *Example: John Calvin, Thomas HobbesNumber of youth (10 years and older) *01234List full names of all youth attendees *Example: Mickey Mouse, Minnie MouseNumber of children (younger than 10 years of age) *0123List full names of all child attendees *Example: Dora Marquez, Rubble PawTotal$ 0.00Payment options *QuickPay - Use Zelle email Id "convention@kodavas.org"Check - Write checks in favor of "Kodava Koota" & Mail to "1965 Castillejo Way, Fremont 94539 United States"Drink preferences *Hard liquor WineBeerNo alcoholPlease select your choice of drinks. If people in your registration party have different choices, then select all that apply.Dietary restrictionsPlease let us know if you have any dietary restrictions.Convention day morning activities: Please indicate if you would like to participate in any of the following activities *Golf Winery Tour/Wine TastingStanford VisitSan Francisco city tourAlcatraz/Golden gate bridge cruiseSilicon Valley tourHikingNot interestedThese activities are optional. Your response to this question would help us utilize our volunteers' efforts more efficiently. We greatly appreciate your inputs.Days attending *2nd Sep (pre-convention party)3rd Sep (main convention event)Please indicate the days you will be attending the convention. Select both days if you plan to attend the entire convention. Message to the organizersWe are working hard to put together a great event to our guests. Please let us know how we can make your experience more memorable!By clicking the submit button, I am allowing this form to be shared with the organizers of Kodava Convention 2023I agree to share my name with the Kodava community of North AmericaMessageSubmit (to be added to the waitlist)
