C Summit 16, Sept 2025 Reg Form

C Summit Sept 2025 Registration & Payment

September 12 - 14, San Diego CA
Name:

First NameLast Name
Bateworld name
Birth Date

MonthDayYear
Date
E-mail*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about the Summit?
What other sexuality experiences or workshops have you attended?
Write a few sentences about yourself...
What is it about this weekend that intrigues you to participate? In other words, what do you hope to experience?
Do you have any food constraints?
Carpooling?

I need a ride from the San Diego Airport.I can offer a ride from my area.I need a ride from my area.
Anything else you like to say?

Accommodations

Dorm Room$520.00

Tent/RV Camping$460.00

Volunteer Food Prep Discount$-50.00

This option is ONLY for dorm or camping participants. NOT for 2 person rooms.

Optional donation to the scholarship fund:$20.00

Help others cum to the CS by adding any number of $20 bill donations....

$20

Total $0.00

NOTICE: This registration payment will appear on your CC Bill as: JR Consulting (that's me, Jallen Rix)
Should be Empty:

C Summit Sept 2025 Registration & Payment