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SKATEBOARD CAMP REGISTRATION FORM

NAME / AGE:
ADDRESS / CITY / ZIP CODE:


EMAIL ADDRESS:
PARENT'S NAME AND WORK # :


PARENT'S NAME AND WORK # :


CELL #(S)


HOME #(S):


Please prioritize numbers for emergency purposes

SPRING BREAK CAMP - March 29th - April 2nd
180.00 for complete package - includes lunch
Or 40.00 per day
Lunch: 4.00 per day
AMOUNT ENCLOSED: ________

Payment in full required to reserve your placement in camp.
Mail check and this form to:
3rd Lair 850 Florida Ave. Golden Valley, Mn. 55426
For more information contact: mark@3rdlair.com or call 763 797 7401 to sign up with credit card.
Down Load Waiver Form
THIS DOCUMENT MUST BE NOTARIZED (HAVE A NOTARY STAMP) IF DOWNLOADED
 

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