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)

Please email to pastorclown@gmail.com  or paper mail to:         
Randy Christensen, 2117 Peregrine Lane, North Mankato, MN 56003     
(Checks written to Randy Christensen,  not Next Step.)



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