GreenSong Grove's Samhain Witch’s Costume Balland Festival

October 14 - 16, 2011 Gates open at 2PM

Boyd Hill ESA, 2900 31st Street South in St. Petersburg


Friday and Saturday workshops, Samhain ritual, Community Potluck and Fire Circle Drumming anddancing. Friday night Costume Ball and Children’s trick or treat down Vendors row. Children’s Realm area for children of all ages by Lynn Carol Henderson.

Registration includes Witch's Ball on Friday evening, all workshops and rituals, drum circle, primitive campsite with flush restrooms. RVs and trailers are welcome but there are no hookups. Cabin bunk space is available for an additional fee. no pets, familiars, weapons, or illegal substances will be allowed on site.

Full bath house with showers, indoor rest rooms, a/c workshop areas,camping among the lovely old oaks and pines, rustic cabins with bunk space and electricity. Parents or legal guardians must accompany children under 18.


Name: ______Craft Name: ______
MINOR CHILD(ren): ______
ADDRESS:______GROUP NAME: ______
PHONE number:______
EMAIL ADDRESS:______
MERCHANT NAME: ______
REGISTRATION FEE:
Per person for the event: $20 for members $25 nonmembers
Saturday after 5 PM rate:$10 $______

CABIN: $15 per cabin bunk per person. Handicapped accessible cabin needed ( ) $______
Merchant Fee:

Admission plus $10 for 10’ by 10’ space (donation for raffle would be appreciated) $______
I would like to present a workshop: ______please write description on the back of this form

Total $______

Make checks payable to:

GreenSong Grove

P.O. Box 1774

Pinellas Park, FL 33780

Email: Phone: 727-804--9370 (Leave us a message!)

THIS IS A SPIRITUAL COMMUNITY SERVICE EVENT
I, the undersigned, by payment of $1 or more, or labor, and who freely associate with and/or become active supporting members of GreenSong Grove, do hereby indemnify, absolve, and release GSG, their officers, directors, agents, assigns, owners, event staff and representatives, from any and all injuries to myself and others that I may be responsible for. I acknowledge that there may be dangerous materials in areas of this property, both in and out of doors. I accept full responsibility for myself and any minor children that are in my charge that may or may not be able to understand or respect safety rules, or other instructions. Furthermore, I accept full responsibility any accompanying minors, at all times that they are present at this event. I agree to respect all property on the premises inclusive of all plants, trees, and animals that are present on these grounds. I will refrain from any and all conduct that may be considered disruptive or harmful to the Wiccan/Pagan Community, this event, or to the staff of GreenSong Grove. I agree to abide by all Federal, State, and local laws. I fully recognize that any difficulties and/or accidents experienced while traveling to or returning from this event are entirely my own responsibility, even if I ask for or are provided with some form of transportation or car-pooling. I understand that this is a drug-free zone. It is understood that these rules and this agreement are for the purpose of promoting a safe and successful event. I understand that the use of these all facilities is for the purpose of a spiritual event. Failure to abide by this agreement is grounds for immediate expulsion from the event without a refund. I understand that I am obligated to contribute a portion of my personal time to "community service" while attending this event. Having read and understood the above, I sign this document freely and voluntarily with no expectation of compensation of any kind, on behalf of myself and any minors in my charge.


Signature:______

Date______