Registration Form

User name

Enter a user name, usually something like 'jsmith'. No spaces or special characters. User names and passwords are case sensitive, make sure the capslock key is not enabled. This is the name used to log in.

Full name (Required)

Enter full name, eg. John Smith.

E-mail (Required)

Enter an email address. This is necessary in case the password is lost. We respect your privacy and will not give the address away to any third parties or expose it anywhere.

Password

Minimum 5 characters

Confirm password

Re-enter the password. Make sure the passwords are identical.

Address 1 (Required)

Please enter your street address.

Address 2

Please enter your extended address.

City (Required)

Please enter the name of your city of residence.

State/Province (Required)

Please select your state or province of residence.If you do not live in Canada or the US, select N/A.

Postal Code (Required)

Please enter your postal code.

Country (Required)

Please select your country of residence.

Home Phone (Required)

Please enter your home phone number.

Work Phone

Please enter your work phone number.

Additional Emails

Enter any email addresses for people who should receive announcements. One per line, please.

Purchased a ticket? (Required)

Have you purchased your Burning Man ticket for this year using the name and address you entered above?

Yes
No

Previous Projects

Please list any Burning Man projects you may have worked on in the past.

Other Contributions

Please list any other ways you have contributed to Burning Man.

Last Year's Contact

Did you participate in a project last year? If so, who was the main contact person for your project.