2003 COACH WYATT CLINICS

PRE-REGISTRATION FORM

MAIL WITH CHECK OR P.O. TO COACH HUGH WYATT - 1503 NE 6TH AVENUE - CAMAS, WA 98607
PURCHASE ORDERS MAY BE E-MAILED TO coachwyatt@aol.com (OR FAXED TO 360-834-0718)

CANCELLATION policy - NO REFUNDS for cancellations within seven days of the clinic date - BUT fee can be applied to registration for a later 2003 clinic

CLINIC LOCATION:______________________________________________

SCHOOL/ORGANIZATION_______________________________________________________

SCHOOL PO # (IF THIS IS TO BE BILLED TO SCHOOL) _________________________________

BILLING ADDRESS________________________________________________________________________

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NO. OF COACHES @ $75 PRE-REGISTRATION__________TOTAL AMOUNT ________________

(MAKE P.O., CHECK OR MONEY ORDER PAYABLE TO "COACH HUGH WYATT")

Sorry - no refunds of pre-registration fees will be made for cancellations within 7 days of the clinic date
COACH(ES) WHO WILL BE ATTENDING (PLEASE PRINT - WE WILL USE THIS TO MAKE NAME BADGES):

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SEND CONFIRMATION TO (WILL BE SENT BY E-MAIL UNLESS YOU REQUEST OTHERWISE)

NAME:

ADDRESS:

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