DO NOT MAIL....Please Print clearly in ink. One person per registration form. Please bring to the Door
Please photocopy or make additional print outs for additional registrations.
Register Early & SAVE |
|
|
Door Rate
|
| Pre-Training Day (Only) - Sept 15th |
|
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$60.
(Day Rate) |
| Advanced or Basic Clown Classes |
| Adult Registration |
|
|
$175.
(Four Day Door Rate) |
| September 16,17,18 &19 2010 |
| Junior Registration |
|
|
$100.
(Four Day Door Rate) |
| 16 years of age and younger |
| "Carousel Party" Guest Fee |
|
|
Clownfest ®Check (US Funds Only) made out to
| Please fill out this form completely : |
Given Name: |
________________________________________________________________________________ |
| Clown Name: |
_______________________________________________________________________________ |
| Address: |
__________________________________________________________________________________ |
| City: |
____________________________________ |
State: |
________________ |
Zip: |
_____________________ |
| Phone: |
( ) ___________________________ |
Email: |
__________________________________________ |
A.) |
Adult Registration |
US $ |
_________ |
|
|
T-Shirt Size _________ |
| B.) |
Junior Registration |
US $ |
_________ |
Jr. Age: |
______ |
(16 & Under) |
| C.) |
Pre-Training Day
|
US $ |
______________ |
_____ |
Advanced |
_____ |
Basic/Novice |
|
I wish to take part in: |
|
 |
The Sunday Parade |
|
The Certificate Program. |
|
Peoples Clown Choice Awards |
| I am a member of: |
(Membership is not required to attend.) |
|
|
|
|
WCA Membership |
|
Shrine Clown Membership |
Official Use Only : |
Number #: _________________ |
Date: ______/_______/ 09
|
| *Free Pre-Training Day |
*Free T-Shirt |
*Certificate |
A $20. processing fee will be placed on all donations that are canceled before the cut off date of July 4th. No cancellations or refunds after July 4th, 2010.
Make your check 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 |
