dbl wing trip
2008
COACH WYATT CLINICS
PRE-REGISTRATION FORM
MAIL WITH CHECK - MONEY ORDER - P.O. TO
COACH HUGH WYATT - 1503 NE 6TH AVENUE - CAMAS, WA 98607
$125 AT THE DOOR - $100 PREREGISTRATION
PURCHASE ORDERS MAY BE E-MAILED TO coachwyatt@aol.com (OR FAXED TO 360-834-0718)

PLEASE READ CAREFULLY - the pre-payment discount is offered in order to assist us with our planning - therefore, no refunds of pre-registration fees will be made for cancellations within 10 days of the clinic date

CLINIC LOCATION:_________________________________________________

NAME _______________________________________________________________________

ADDRESS ________________________________________________________________________

CITY/STATE/ZIP ________________________________________________________________________

PHONE ____________________________________________________________________

E-MAIL ADDRESS ___________________________________________________________

SCHOOL/ORGANIZATION _____________________________________________________

NO. OF COACHES __________TOTAL AMOUNT (@ $100 PRE-REGISTRATION) ________________

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

COACH(ES) WHO WILL BE ATTENDING (PLEASE PRINT - WE WILL USE THIS TO MAKE NAME BADGES):

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

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_______________________________________

PLEASE READ CAREFULLY - the pre-payment discount is offered in order to assist us with our planning - therefore, no refunds of pre-registration fees will be made for cancellations within 10 days of the clinic date