MAIN EVENT 2006
Registration Form

Please print and send completed form along with full payment to:

THE NAVIGATORS
Attn: Registrations
P.O. Box 606
Cedar Falls, IA 50613

Circle One:   Student  -   Staff   -  Exhibitor

          Name:_________________________________________________________

          Address:_______________________________________________________

          City:____________________________

          State:______ Zip:____________ Phone:______________________________

          College:________________________ Projected Graduation Date:__________

          Email: _________________________________________________________

Important:

Each attendee must sign this medical release.

"I hereby consent to any medical treatment deemed necessary during the retreat. I assume the risk and responsibility for any injury or liability resulting from retreat participation, including any athletic activity."

Please Sign Here: _____________________________________________________________________

Fee Information:

Cost: $80.00 if postmarked by October 6th; $100.00 if postmarked after the early registration date of October 6th, 2006.

MAIN EVENT T-shirt's will be available for purchase throughout the retreat weekend.
Cost will be $15.00.

Please Note: Registrations which arrive without payment will not be considered complete until payment is received. If that payment arrives after the October 6th early registration deadline, the standard registration rate of $100 will apply (regardless of when the registration form arrived.)

Make Checks Payable to
The Navigators

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