Thursday, January 11, 2018
Registration Form for Next Step 2018
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 pick-up)
Other stuff you want us to
know:______________________________________________________________
_____________________________________________________________________________________________
$_______________ (Registration is $375. Alumni rate: $325. To secure your spot, please send $75)
Randy Christensen, 2117
Peregrine Lane, North Mankato, MN 56003
(Checks written to Randy Christensen, not Next Step.)
(Checks written to Randy Christensen, not Next Step.)