Please Print clearly in ink. One person per registration form. Please photocopy or make additional print outs for additional registrations.

CUT-OFF "MAIL-IN DATE" WAS AUGUST 30, 2005.
Walk-ins are now encouraged & accepted at the event door.
Check or cash is accepted at the door. An ATM is available in the town. Report to the Church Hall in Seaside Heights. See our overview map and the schedule of events on this site.

Register

Register at the Door

Pre-Training Day (Only) - September 14th, only	$65.
Day Rate	$65. (Per Day)

Adult Registration	$185.00
September 15,16,17,18 2005

Junior Registration	$125.00
17 years of age and younger

DO NOT MAIL YOUR REGISTRATION AT THIS LATE DATE.
(We can not guarantee a confirmation to any registrations received after August 30.)

Please fill out this form completely :

Given Name:

________________________________________________________________________________

Clown Name:

_______________________________________________________________________________

Address:

__________________________________________________________________________________

City:

____________________________________

State:

________________

Zip:

_____________________

Phone:

(         ) ___________________________

Email:

__________________________________________

A.)

Adult Registration

US $

_________

B.)

Junior Registration

US $

_________

Jr. Age:

______

(17 & Under)

C.)

Pre-Training Day

US $

____________

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I will be taking part in the parade

I will be taking part in the Certificate Program.

COAI Membership #:

________

WCA Membership #:

________

(Membership is not required to attend.)

---

Official Use Only :

Number #: _________________

Date: ______/_______/ 05 *Certificate

Make checks payable to N.C.A.P., Inc. - in US funds only.
Clownfest ® - N.C.A.P., Inc. - 240 Swimming River Road #C, Colts Neck, New Jersey 07722-1528 .
For information Email Clownfest@aol.com - www.Clownfest.com - FAX: 732-747-3841