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Jr. High Fiesta Registration

Parish:      City:

Adult Contact:   Phone:

E Mail Address:

 

Participants First Name:    Last Name:    Youth: or Adult:

Participants First Name:    Last Name:    Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:  

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

If fewer than 8 attending : Total number of Youth Participants:       X $17.00 =

 $

If 8 or more attending: Total number of Youth Participants:      X $15.00 =

 $

Total number of Adult Participants:      X   $7.00 =

 $

Total amount due when submitted on or before 02/17/2011:  

 $