Adults:
Registration before October 1$20.00
Registration after October 1$30.00

Couples registration before October 1$30.00
Couples registration after October 1$40.00

Children & Youth:
Children ages 5-17 (1-3 children - each)$5.00
Children ages 5-17 (4 or more children max. charge)$20.00
Children ages 0-4no charge
Total Enclosed (in U.S. dollars only please)$_______

Names of all attendees (and children’s age):

Name:   Age: 

Name:   Age: 

Name:   Age: 

Name:   Age: 

Name:   Age: 

Name:   Age: 

Name:   Age: 

Name: 

Address: 

City:  State:  Zip: 

Email address: