Elnora Eclipse Encounter Registration

Elnora Eclipse Encounter

Please fill in the form below. Contact us at (812) 692-7801 if you have any questions!
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
Are you planning to attend any of the sessions?*
Spouse's Name
Number of Children (Age 0-3)
Number of Children (Age 4+)
Please select the session you plan to attend?

Friday EveningSaturday MorningSaturday eveningSunday morningSunday eveningMonday morningMonday Evening
Lodging

Lodging for this event will be located in the campground adjacent to the EBI campus. The per-site rental is $65 per night. There is a two-night minimum. NOTE: No refund will be given after March 1, 2024.
Lodging Options:*

Campground LodgingProviding my own lodging
Expected Arrival*

Friday evening - April 5Saturday - April 6Other
How many nights?*
Would you like to purchase a pair of Solar Eclipse Glasses from EBI?
How many?*
Lodging Calculation
Comments

Eclipse Encounter Costs*

USDEclipse Encounter Lodging

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country