First Name (required)

Last Name (required)

Pronouns

Address (required)

City (required)

State

—Please choose an option—ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWAWVWIWY

Zip Code

Phone (required)

E-Mail (required)

Personal Web Site

Since there are a finite number of rooms available, please expect to be paired with another Camper. If you don’t have someone in particular with whom you’d like to share a room, we’ll gladly pair you up with someone. Single rooms MAY be made available after July 1, 2023 for an additional charge IF space allows (which is in all honesty highly likely, but we can't guarantee it until closer to the convention).

I would like to room with:

I prefer to room with a: MaleFemale

In a: Quiet RoomParty Room

Due to health issues I need to be near the elevator

*** (NOTE: The Umass-Lowell Inn & Conference Center is 100% accessible. We will place Campers who request to be near the elevators accordingly.) ***

PLEASE SELECT A PAYMENT OPTION (required)

• FULL REGISTRATION — Complete Membership, including Room & Board (3 Nights) and Full Access to all Camp Necon 41 Programming and Events — $525.00

• WALK-IN REGISTRATION — 4 Days, Full Access to all Camp Necon 41 Programming and Events, No Room & Board — $125.00

• MEMBERSHIP DEPOSIT — A downpayment towards Full Registration. PLEASE NOTE — this deposit is NON-REFUNDABLE, but may be rolled towards a future Camp Necon registration, forwarded to another Camper, or put towards a Walk-In Registration — $100

• REMAINING BALANCE — Chose this option if you have already purchased your MEMBERSHIP DEPOSIT and want to pay the remainder of your FULL REGISTRATION (due by 7/1/23) — $425.00

• PRE-PAID AT CAMP NECON 40 — Please select this option if you already paid your balance for Camp Necon 41 in full at Camp Necon 40, but would like to send us additional information such as a roommate request or programming suggestions (and then ignore the "Process Payment page where you'll be directed after sending us your registration form).

FULL ($525.00)WALK-IN ($125.00)DEPOSIT ($100.00)BALANCE ($425.00)PRE-PAID ($0.00)

ABOUT ME

Please complete this questionnaire if you’re interested in being used on Official Camp Necon 41 Programming (i.e. Panels or Kaffeklatches)!

(In order to be used on Official Programming, you MUST be registered by May 31st, 2023!)

Estimated Arrival (Date & Time):

Estimated Departure (Date & Time):

I am a (please check all that apply):

WriterArtistEditorAgentPublisherFilmmaker

Other:

I have written / worked on (please check all that apply):

NovelsShort Fiction / NovellasComic Books / Graphic NovelsScreenplays / StageplaysPoetryE-BooksAudiobooksLiterary Criticism / ReviewsNon-Fiction

Other:

My genres of choice are (please check all that apply):

HorrorFantasyCrimeSupernaturalScience FictionParanormal / Urban FantasyHumor

Other:

I have personal / professional experience in the following fields that may be of interest and useful during programming (ex: legal expertise, medical expertise, martial arts expertise, experience working with cadavers, specific fields of academic / literary study, etc.):

Any other notes you’d like to share or programming you’d like to suggest for Camp Necon 41:

What is 1 + 9

Δ