2010
|
COACH
WYATT CLINICS
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PRE-REGISTRATION
FORM
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MAIL WITH
CHECK or MONEY ORDER or SCHOOL P.O. to...
|
COACH
HUGH WYATT - 1503 NE 6TH AVENUE - CAMAS, WA
98607
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$125 AT THE DOOR - $100 PRE-REGISTRATION
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PURCHASE
ORDERS MAY BE E-MAILED TO coachwyatt@aol.com (OR
FAXED TO 360-834-0718)
|
PLEASE
READ CAREFULLY - the pre-registration
discount is offered in order to assist us with our
planning - therefore, no refunds of
pre-registration fees will be made for
cancellations within 10 days of the clinic
date |
CLINIC SITE:_________________________________________________
NAME
____________________________________________________________________________
ADDRESS
_________________________________________________________________________
CITY/STATE/ZIP
___________________________________________________________________
PHONE
___________________________________________________________________________
E-MAIL ADDRESS _________________________________________________________________
SCHOOL/ORGANIZATION __________________________________________________________
NO. OF COACHES ___________ TOTAL
AMOUNT (@ $100)
________________
(MAKE P.O.,
CHECK OR MONEY ORDER PAYABLE TO "COACH HUGH
WYATT")
COACH(ES) WHO WILL BE
ATTENDING (PLEASE PRINT - WE WILL USE THIS TO MAKE
NAME BADGES):
___________________________________________
___________________________________________
___________________________________________
___________________________________________ |
|
___________________________________________
___________________________________________
___________________________________________
___________________________________________ |
PLEASE
READ CAREFULLY - the pre-registration
discount is offered in order to assist us with our
planning - therefore, no refunds of
pre-registration fees will be made for
cancellations within 10 days of the clinic
date
|
|