REGISTRATION FORM _________________________________________________________________

Name____________________________________________________________________

Address__________________________________________________________________

City________________________State_____________Zip__________________________

Telephone(H)________________E-Mail____________T-Shirt Size___________________
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(T-Shirt Sizes: Adult: S,M,L,XL,XXL,XXXL)
(Youth: 10-12, 14-16)

REGISTRATIONS MUST BE RECEIVED BY JULY 1ST TO RECEIVE A T-SHIRT
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Family Members/Friends Registering With You:

Name___________________/Circle One:____Adult____Youth___/___T-Shirt size:_____

Name___________________/Circle One:____Adult____Youth___/___T-Shirt size:_____

Name___________________/Circle One:____Adult____Youth___/___T-Shirt size:_____

Name___________________/Circle One:____Adult____Youth___/___T-Shirt size:_____
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TOTAL REGISTRATIONS:
Adult Registration(s) (16 and up)___________Quantity____X____$100__= __________

Youth Registration(s) (ages 7-15)___________Quantity____X____$_35__= __________

Child Registration(s) (ages 0-6)_____________Quantity____X___Free______________
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Extra T-Shirts Orders:____Sizes(s):_____Quantity_____X_______$20__ = __________

Raffle Tickets: Choices: $1 for 1; $5 for 10; $10 for 25__ _Quantity____=___________
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Check if applicable:___Vegetarian meals____Tent Camping____Parking a RV
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FINAL TOTAL = _______

Send check or money order to: John Denver Summer Celebration Send to: JDSC P.O. Box 1815 Westerville, OH 43086-1815