May 1, 2005
11 a.m. - 4 p.m.
RAIN OR SHINE!
High Point Farm
23730 Frederick Road
Clarksburg, MD 20871
The registration deadline is April 26.
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EARLY BIRD (before April 21)
______ $6.50 per adult or teen ______ $3.00 per child 12 and younger ______ Children 2 and under free Total $ ___________ ______ Check here if you require vegetarian meal |
LATE BIRD, After April 21
______ $9.00 per adult or teen ______ $5.00 per child 12 and younger ______ Children 2 and under free Total $ ___________ ______ Check here if you require vegetarian meal |
Will your child participate in the poetry/writing contest? _____ Yes _____ No
If yes, number of children participating: _____
Please indicate the activities your teen(s) will want to participate in:
______ Volleyball ______ Soccer ______ Softball (bring your own gloves!)
Name of main ticketholder ___________________________________________
Email address _____________________________________________________
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Send admission form and check (payable to MMKODA) to:
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MMKODA c/o Michele Dunefsky 21312 Village Green Circle Germantown, MD 20876 |