Staff Discount | Pittsburgh Japanese Culture Society

Date *

First Name *

Last Name *

Date of Birth *

Email Address *

Phone Number *

Zip Code *

Emergency Contact Info

Full Name

Phone Number

Staff Questionnaire

Which PittJCS events have you participated as Staff? *

Tekko

Sangawa Project

KuroKiiro

We will use this information to verify your Gala application and notify you of your registration status within 2-3 days.

When did you participate as a Staff member? *

Registration

Gala Registration *

Entree Choice *

Chicken

Beef

Vegetarian

Add-Ons

VIP Meet & Greet *

Relax and enjoy a special Meet & Greet before the doors open from 6 to 7 p.m. with our featured guests, Austin Tindle and Brina Palencia! Champagne will be provided for 21+ individuals.

Open Bar (21+ Event) *

Must be 21+ by the date of the event (October 13tht, 2017). ID must be present at Gala Check-in.

Total *

Confirmation Number *

Terms & Conditions

Black Tie Gala Terms & Conditions *

I understand that all sales for the Black Tie Gala are final and refunds will not be issued. The Pittsburgh Japanese Culture Society also reserves the right to reject entry to individuals who do not conform to the standard dress code for the event.

By agreeing to these Terms & Conditions, you acknowledge that you will follow all event rules and adhere to the standard dress code for the Black Tie Gala.

21+ Event Terms & Conditions

I understand that all sales for the Black Tie Gala are final and refunds will not be issued. Furthermore, I understand that the event organizers, the Pittsburgh Japanese Culture Society, are not responsible for my actions.

By agreeing to these Terms & Conditions, you acknowledge that you will be at least 21 years of age on or before the event date (October 13th, 2017) and will be subjected to ID verification at the Check-in table.

Ghoulish Gala Staff Discount

Emergency Contact Info

Staff Questionnaire

Registration

Add-Ons

Terms & Conditions

Backend