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2010 WSSCAR State Conference Registration Form
Registration Deadline by February 15, 2010 – First 20 kids who register get a free WSSCAR Tote bag!
Yes, I/we plan to attend: o Fort Vancouver: Family (Any # for $5): ______ Individual Members ($3): _______ Total: $______. o Pizza lunch (donated by Anderson’s Fabrication) – Please indicate # of slices of each flavor Pepperoni _______ Cheese: ______ Vegetarian: ______ o Conference at Library: # Adults: ______ # Society members: _______ o Firstenburg Community Center (Wave Pool): Child to 18 ($3.75) x: ______ = $________ Adult: >18 ($5.75) x: ______ = $________ Subtotal: = $________ = $______ Total: $_______ Parent name: ________________________________________ Email: _____________________________ Address: _________________________________________ Phone(1)___________________________ _________________________________________ Phone: (2)__________________________ Child(rens) Name: ____________________________________ Society Name________________________ Name: ____________________________________ Society Name________________________ (continue on back or additional page if necessary) Please mail checks payable to: WSSCAR: to Peggy Goldenman, 7075 SE Kansas, Port Orchard, WA 98366-7172 Questions: Conf@WastateCAR.org
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