Registration Form

Name tag information for yourself and family:
Name: Club or Business Name City and State
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Class Registration Class Fees will be paid directly to the Instructor at Class time
Student name Class # Instructor Second Choice
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Registration Fee (instructors exempt)

$15.00 / Family

$15.00

Banquet Tickets
Friday July 15, 2011, 7:00 pm

___________ @

$10.00 / person

_________

Early Registration makes you eligible for an entry into
our Dail Drawing for a $15 Gift Certificate. Check
the Registration Desk daily to see if you are a Winner!

Total Enclosed

Make checks payable to: CWRC

Early Registrations Ends May 1, 2011
Registration Deadline: June 30, 2011
RSVP 20th Anniversary Open House______(Number Attending)

Please mail to :
CWRC Secretary, Karen Oquin
13902 West 78th Place
Arvada, CO 80005

For Director Use:

recvd

ck#

recpt#

draw tix

banq tix

class/dir

to treas

vend pac