SKATEBOARD CAMP REGISTRATION FORM date:________________ emps. init.:_____
NAME / AGE:
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ADDRESS / CITY / ZIP CODE:
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EMAIL ADDRESS:
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PARENT'S NAME AND WORK # :
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PARENT'S NAME AND WORK # :
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CELL #(S)
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HOME #(S):
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!!!!!!!!!!!!!!!!!!!!!!!!!! PLEASE PRIORITIZE NUMBERS FOR EMERGENCY PURPOSES !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
PLEASE SPECIFY CAMP DAYS & DATES HERE:
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|R| 44.00 + tax = 47.17 (per day - no lunch)
|A| OR: 48.00 + tax = 51.46 (per day - with lunch)
|T| OR: 160.00 + tax = 171.52 (per week no lunch)
|E| OR: 180.00 + tax = 192.96 (per week - with lunch)
|S| add: 12.95 + tax = 13.85 (Trick Tips DVD)
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COMPLETE PACKAGE = BEST DEAL
190.00 + TAX = 202.35 (INCLUDES - 5 DAYS, LUNCH
EVERYDAY, OPEN SKATE, & THE TRICK TIPS DVD!)
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AMOUNT ENCLOSED: _______________
Payment in full required to reserve your placement in camp.
Mail check and this form to: 3rd Lair Skate Camp - 850 Florida Ave. Golden Valley, Mn. 55426
2011 Upcoming Camp Dates:
March 21 - 25 - Spring Break Camp #1
March 28-Apr 1 - Spring Break Camp #2
April 4 - 8 - Spring Break Camp #3
June 6 - 10 - Summer Break Camp #1
June 13 -17 - Summer Break Camp #2
June 20 - 24 - Summer Break Camp #3
June 27-July 1 - Summer Break Camp #4
July 11 - 15 - Summer Break Camp #5
July 18 - 22 - Summer Break Camp #6
July 25 - 29 - Summer Break Camp #7
August 1 - 5 - Summer Break Camp #8
August 8 - 12 - Summer Break Camp #9
MEMBERS: TAKE 5.00 OFF THE
COMPLETE PACKAGE PRICE!!
(MEMBERSHIP MEANS YOU
PAID 99.00 FOR THE YEAR)
YES or NO (please circle)
or call: 763 797 5283 to sign up with credit card
