Registration For JMR Associates

  - You can save this file to your computer by using the "File -> Save As"
  command and then fill in blanks, print it, and then mail it to address below -
    
Name: 
Address: 
E-mail address: 
Phone Number: 
Male/Female: 
Age: 
*Is this your first LARP?  Yes/no

Have you played in a JMR Associates LARP before:  Yes/No 
Character Name: 
Will You be needing a New Character?  Yes/No 
Clan: 1st Choice: 
Gangrel, Ventrue, Malkavian, Brujah, Nosferatu, Tremere, Toreador 
Clan:  2nd Choice 
Gangrel, Ventrue, Malkavian, Brujah, Nosferatu, Tremere, Toreador 

If you are interested in a non-Camarilla Clan, please fill in:
(note: This is only at storyteller's approval) 

*If you have played in previous LARPs, please specify: 



Method of Payment:  Please do not mail cash 
Check/Money Order 

Registration made before December 1st will be $20,
late registration and door characters will be $30.   

Please mail to: 

JMR Associates 
Attn:  Donna Bernstein 
1 Belmar Drive East 
Staten Island, NY 10314