Thursday, April 04, 2019

 

Next Step 2019 Registration Form

Hey Friends!  Please get this filled out and sent off to me as soon as you decide to attend our workshop.  You ARE NOT registered until we receive this and we also receive your $75 deposit.  Remember, there are only 15 spots available, so reserve yours now!

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Registration Form for Next Step 2019


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 $395.  Alumni rate: $345.  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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