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Registration

Personal Information

Name:
Home Address:

City/State:
Zip Code:
Home Phone #:
Cell Phone #:
Email Address:
Birthdate:
Age:
T-Shirt Size:

 

Other Family Members Attending

Name
Birthdate/Age
T-Shirt Size

 

Registration Fee:

Total Number of Adults ($150)
Total Number of Couples ($275)
Total Number of Children 12 & Under ($75)
Amount Due:
$
Please make check or money order payable to 'William Anderson'
Mail payment to 3525 Highland Road, Brooklyn Park, MN 55443

 

Activities: We will be planning extra activities for your family. Please check the activities you would like to participate in. We will take everyone's choices into consideration.

Bowling
Mystic Lake Casino
Water Park of America
Tour of Minneapolis/St. Paul
Valleyfair Theme Park
Como Park Zoo & Conservatory
Stevie Ray's Comedy Club
Golfing
Underwater Adventures (MoA)
Night on the Town Party Bus
Science Museum of Minnesota
Cantebury Park Racetrack
Fishing
Guthrie Theater
Children's Museum
Other

 

 

Comments/Questions:

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