April 30, 2006 (Sunday)
11 am to 4 pm

Seneca Creek State Park
Gaithersburg, Maryland

The registration deadline is April 28.   No refunds after April 25.

EARLY BIRD on or before April 28 ______ $10.00 per adult or teen ______ $6.00 per child 12 and younger ______ Children 2 and under free Total $ ___________ ______ Check here if you require veggie burgers

LATE BIRD, After April 28 ______ $15.00 per adult or teen ______ $8.00 per child 12 and younger ______ Children 2 and under free Total $ ___________ ______ Check here if you require veggie burgers

Name of main ticketholder _________________________________________________

Email address __________________________________________________________

Pager address __________________________________________________________

Address ______________________________________________________________

______________________________________________________________________

Check here _____ if you can volunteer for picnic preparation, clean-up, or events.

Check here _____ if you can donate a baked good toward Bake Sale.

Please indicate what you will bring ___________________________________________

Send admission form and money order or check (payable to MMKODA) to:

MMKODA
c/o Ricky Edwards
12009 Provost Way
Germantown, Maryland 20874