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| 160.00 + tax = 170.64 (5 days - without lunch)
|A| OR: 180.00 + tax = 191.97 (5 days - with lunch)
|T| OR: 48.00 + tax = 51.19 (per day - with lunch)
|E| OR: 44.00 + tax = 46.93 (per day - without lunch)
|S| add: 12.95 + tax = 13.85 (Trick Tips DVD)
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COMPLETE PACKAGE = BEST DEAL
190.00 + TAX = 202.64 (INCLUDES - 5 DAYS, LUNCH
EVERYDAY, OPEN SKATE, T-SHIRT & 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 SkateCamp - 850 Florida Ave. Golden Valley, Mn. 55426
2008 Camp Dates:
March 21st - Powercamp #3
March 24th - 28th - SpringBreak #1
March 31st - Aug. 4th - SpringBreak #2
Aug. 4th - 8th - SpringBreak #3
June 9th - 13th - SummerBreak #1
June 16th - 20th - Summer #2
June 23rd - 27th - SummerBreak #3
July 7th - 11th - SummerBreak #4
July 14th - 18th - SummerBreak #5
July 21st - 35th - SummerBreak #6
July 28th - Aug. 1st - SummerBreak #7
Aug. 4th - 8th - SummerBreak #8
MEMBERS: TAKE 5.00 OFF THE
COMPLETE PACKAGE PRICE!!
(MEMBERSHIP MEANS YOU
PAID 95.00 FOR THE YEAR)
YES or NO (please circle)
or call: 763 797 5283 to sign up with credit card
