Online Registration - Anime Fusion

GENERAL REGISTRATION FORM

This form can be used to register one individual attendee for Anime Fusion, of any age. The attendee’s birthdate will be used to determine their age category. (Children age 5 and under can attend Anime Fusion for free with a registered adult chaperone. Click here to request a complementary child pass.)

All payments are processed through PayPal. We do not collect or store any of your banking information.

Attendee Information

Legal First Name *

Middle Name

Legal Last Name *

Preferred NameIf this attendee prefers to use a different name than their legal one, please enter it here.

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Phone

Email Address *This field is required. Please enter an email address.

Birthdate *

The attendee's birthdate, for age verification purposes.

Badge NameDesired name to be printed on the front of the attendee's membership badge. If no badge name is entered, their legal first name or preferred name will be used.

Discord Username (optional)Anime Fusion's live-streamed content is available to all registered members through Discord. You will need a Discord account if you want to access any online content.

Emergency Contact Information

Required if the attendee will be under 18 years of age at the time of the convention. (Children 5 and under can attend for free. Scroll down to request a free child pass.)

Full Name (first and last) *

Phone *

Relationship *

Accessibility

Do you have any accessibility needs that require the assistance of a PCA/personal attendant?YesNo

Attendant's NamePlease provide your attendant's information, so that we can provide that person with a contingent badge (and add them to your emergency info card).

Attendant's Birthdate

Attendant's Phone Number

Alternate Phone (if applicable)

Registration Options

Standard and Sponsor memberships include a full weekend pass for the live, in-person convention at the Crowne Plaza.

Registration Type

T-Shirt Add-On (+$20.00)Pre-order a convention T-shirt for an additional $20? Attendees will pick up their shirts at the event.

T-Shirt - SponsorSponsor memberships include a convention T-shirt. Sponsors will pick up their shirts at the event.

How did you find out about Anime Fusion?

How did you learn about us?

Payment

If you do not have a PayPal account, select the Debit or Credit Card button below. All payments are processed through PayPal. We do not collect or store any of your banking information.

Coupon CodeIf you have a coupon code, you can enter it here.

Discount$5 OffCoupon code accepted!

FreebieComplimentary Pass - $40 ValueCoupon code accepted!

Total