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 = 46.93 (per day - without lunch)
|A| OR: 48.00 + tax = 51.19 (per day - with lunch)
|T|
|E|
|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, 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 GV - 850 Florida Ave. Golden Valley, Mn. 55426 or
3rd Lair B-Ville 3260 County Rd. 42, Burnsville, Mn. 55337
2009 Upcoming Camp Dates:
February 16th - Powercamp #4
March 23 - 27 - Spring Break Camp #1
March 30 - Apr. 3 - Spring Break Camp #2
April 6 - 10 - Spring Break Camp #3
June 8 - 12 - Summer Break Camp # 1
June 15 -19 - Summer Break Camp # 2
June 22 - 26 - Summer Break Camp # 3
July 6 - 10 - Summer Break Camp # 4
July 13 - 17 - Summer Break Camp # 5
July 20 - 24 - Summer Break Camp # 6
July 27 - 31 - Summer Break Camp # 7
August 3 - 7 - Summer Break Camp # 8
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
