pre - Registration form

        SPRING               Year ______

Name____________________________________________ Phone (______) ____________________________

Address ___________________________________________________________________________________

City ________________________________________ State____________________ Zip __________________

Emergency Contact Name____________________________________ Phone (____) _____________________

Medical Concerns ___________________________________________________________________________

Pre-Registration

Print Names Below

Fees that apply

Business Name

 

 

Adult Sutler / Trader

 

40.00

Adult / Blanket Trader

 

20.00

Adult

 

20.00

Adult

 

20.00

Child

 

0.00

Child

 

0.00

Child

 

0.00

 

 

===========

Total Fees Enclosed

 

$

If you have questions on ANY of the rules, please contact us prior to the event for clarification.

 

I have read the rules and will abide by them. _______________________________________________________

 

 

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