MOVIE AND GAME NIGHT application 2012 (PDF)
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Title: Microsoft Word - MOVIE AND GAME NIGHT_application_ 2012
Author: Instructor
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MOVIE AND GAME NIGHT
What: Movie and Game Night
When: Friday June 22nd
Where: Chosun Black Belt Academy
Time: 6:00pm –9:00pm
Cost: $20 (BBC Members - $18)
Bring a non-member friend for $10!
(DEMO TEAM members can come for the second half for $10)
Student Name_____________________________________________
Age______ Phone (____)______________________
Emergency Contact_________________________________________
Emergency Phone (____)_____________________________________
FRIEND’S INFO:
FRIEND’S NAME ___________________________________________
PARENT’S NAME __________________________________________
Age______ Phone (____)_____________________
EMAIL: ____________________________________________________
Emergency Contact_________________________________________
Emergency Phone__________________________________________
Paid $_________
Cash
Check#______
Credit
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Document ID: 0000041219.