Thursday, August 27, 2015
Registration Form for Next Step Workshop 2015
Name__________________________________________________________ Age__________ Guy or Gal?
Mailing Address:_________________________________________________________________________________
Telephone:__________________________________
Email:_______________________________________________________
Previous
Training?_______________________________________________________________________________
________________________________________________________________________________________________
Foods you won’t eat ____________________________________________________________________________
Medical issues we should be aware
of:_____________________________________________________________
Favorite comic
actor/comedian?__________________________________________________________________
Where do you
clown?_____________________________________________________________________________
What specific topics are you hoping to
learn?_______________________________________________________
_________________________________________________________________________________________________
Interested in sharing hotel room
expense? Yes /
No
Need transportation
from the airport? Yes /
No ($10 travel fee accepted at time of travel)
Other stuff you want us to
know:_________________________________________________________________
_________________________________________________________________________________________________
Payment included: $_______________ (Registration is $375.
Alumni rate is $300.)
Please email to pastorclown@gmail.com or paper mail to:
Randy Christensen, 2117 Peregrine
Lane, North Mankato, MN 56003
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# posted by Randy @ 4:14 PM 
