Cultural Caravan Registration

The Castle's Cultural Caravan Registration Form
The Native American Legacy: Behind the Scenes at Chillicothe
Saturday, July 27th, 2019

Name: *

Mailing Address: *

City: *

State: *

Zip: *

Home Phone: *

Cell Phone: *

Email: *

Departure Time: 12:00 PM Return Time: 12:30 AM

Departure & Return Location: Marietta College Physician Assistant Parking Lot, Corner of 3rd & Butler Streets.

I plan to attend the complimentary informational lecture at The Castle on:

Tuesday, July 23 7pm Thursday, July 25 7pm

Emergency Contact Information:

Name: *

Home Phone: *

Cell Phone: *

Photographic Permission: (please check the box to apply consent)

I grant The Castle permission to use my image in association with this event for any lawful purpose, such as publicity, illustration, advertising, and web content.

Registration is limited and will be accepted on a first-come, first-served basis. Please forward registration with payment in full to: The Castle, 418 4^th Street, Marietta, OH 45750. Please make checks payable to “The Castle”. Payment is required to reserve your seat. In the event of cancellation, guests will be notified by July 22nd, and refunded full payment. Cancellations made by guests with less than 48 hours notification will not receive a refund. Call 740-373-4180 with any questions.

Return this form by: Friday, July 12^th

Thank You For Your Interest & Support!

Click the *Submit* button above to complete registration.
Next, click the proceed to payment button at the bottom of this page.

The Castle’s Cultural Caravan Registration Form

Registration & Payment

Cultural Caravan Registration

The Castle’s Cultural Caravan Registration Form

Registration & Payment

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