Registration and Plunder Party Primary Form

Pirate Party 27 CONVENTION REGISTRATION AND PIRATE'S PLUNDER PARTY FORM

August 5-8, 2027 - Orlando, FL
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this your first IN PERSON convention?
Convention Registration & After Party Option (choose one):
All Registrations and Upgrades are NON-TRANSFERRABLE. All Cancellations will be subject to a $50 cancellation fee. **Refund Schedule: 07/05/26 through 12/31/26 for a Full Refund. 01/01/27 through 03/31/27 for a 50% Refund. 04/01/27 through 06/30/27 for a 25% Refund. You, as an attendee of the 2027 National Sweepstakes Convention agree not to hold the convention hosts liable for any loss of personal property, or for personal injury. I agree to not record any sessions without the permission of the convention hosts.
Please do not send cash.

Make checks or money order payable to:

Mark Roland

c/o Pirate Party 27

5520 Golden Eagle Circle

Palm Beach Gardens, FL 33418
**Must PRINT FORM first (if able) PRIOR to submitting.

**You are not pre-registered until AFTER you hit submit button and receive acknowledgement from JOTFORM
Should be Empty: