MajestyMas Registration Form

Name

First NameLast Name

Birth Date

MonthDayYear

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Water

Full package ($700 EC)

$265.00 QuantitySize

Water

Package without backpack ($500 EC)

$190.00 QuantitySize

Wind

Full package ($700 EC)

$265.00 QuantitySize

Wind

Package without backpack ($500 EC)

$190.00 Quantity

Fire

Full package ($700 EC)

$265.00 QuantitySize

Fire

Package without backpack ($500 EC)

$190.00 QuantitySize

Earth

Full package ($700 EC)

$265.00 QuantitySize

Earth

Package without backpack ($500 EC)

$190.00 QuantitySize

Total

Bathing Suit Size

Parent Name

First NameLast Name

Parent Signature