REGISTRATION FORM

Scream at the beach

OCTOBER 23, 2009
COST FOR AFS STUDENTS (FREE)

NON AFS STUDENTS AND HOST FAMILY COST WILL BE $10.00

AFSer’s NAME(S) FREE

Host Family Attending: @ $10.00 EACH

HOST MOM:

HOST DAD:

HOST SIB’S

HOST SIB’S
Non AFS Attending: @ $10.00 EACH
NAME:

NAME:

NAME

NAME

NAME

NAME

NAME

NAME

NAME

NAME

NAME

NAME

NAME

NAME

I need a count ASAP so that I can order food and drink for the night.
PLEASE MAKE ALL CHECKS PAYABLE TO RONALD COMBS, & MAIL ALL REGISTRATION SLIPS TO:

RONALD COMBS
2134 SE 60ave
Portland, Oregon 97215-4072