Registration form
WPAM's Rivers 3RG 2003

August 29 - September 1, 2003

Registration Rates

Child rates are for ages 7-20

Adult	Child	Cutoff Date
$80	$60	Postmarked by 7/15
$85	$65	Postmarked by 8/24
$90	$70	After 8/25 and at the door

Daily Rates

$35	Saturday only, includes hotel dinner
$35	Sunday only, includes hotel lunch
$15	Monday only, includes hotel brunch

Make checks payable to Rivers 3 RG 2003

Mail to:

, Treasurer
P.O. Box 131
Finleyville, PA 15332

Name(s)	________________________________________________________________
Name(s) for badge	________________________________________________________________
Address	________________________________________________________________
City	________________________	State	__________	ZIP	____________
Phone number	(________) ______________________________________________________
Email address	________________________________________________________________
Volunteer to help	Yes No How	____________________________________

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