Registration Form
Online registration form for 2008 Midwest Dharma Celebration
First Name Please enter your first name.
Last Name Please enter your last name.
Gender Please select your gender -- Please select -- male female
NKT Center which you attend (if applicable)
Street
City
State
Zip
Phone Please enter a valid phone number.
Email Please enter a valid email address.
Full Event - $100 Individual Days: Friday evening only, June 6 - $10 Saturday, June 7 - $80 (includes lunch) Sunday morning only, June 8 - $15
Special Needs