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Registration
First name
___________
___________
___________
___________
Last name
_______________
_______________
_______________
_______________
Child’s birth date
__________
__________
__________
__________
Street _____________________________
City, State & Zip _______________________
Check if address information has changed.
Please put additional addresses, phones, etc. on back.
T-Shirt S—XL $12 each, (2X—3X $13)
Colors: Jade, Oceana(Dusty Blue), Orchid(Lilac), Pistachio, Red, Sapphire(Bright Blue)

Children’s T S (6-8), M (10-12), L (14-16)
$12 each
Colors: Sapphire(Bright Blue), Jade, Red

Women’s T-Shirt
Sizes run slightly small
When in doubt order a size larger
Women’s sizing S—XL $12 each, (2X—3X $13)
Colors: Orchid(Lilac), Pistachio, Red

Tote Bags $12 each, Natural
Aprons $13 each, Natural
Home, work, cell phone _________________________
Home, work, cell phone _________________________
E-mail _________________________________
Please note if you prefer that any of these NOT be printed on the Moon Festival participants contact list.
Workshops
We would like to offer (adult workshops): _____________
________________________________________
________________________________________
We would like to see offered (and by whom): __________
________________________________________
We’ll offer the following REQUIRED Kids’ Co-op workshop:
________________________________________________

First Aid List
Willing to help? Please identify yourself.
__ Doctor __ Nurse __ EMT __First-aid Kit

Mail To: Moon Festival - c/o Chuck Palmer
2270 Bluebell Ave - Boulder, CO 80302
Item        
______
______
______
______
Color
_______
_______
_______
_______
Size
____
____
____
____
Qty.
____
____
____
____
Price x Qty
$ _______
$ _______
$ _______
$ _______
People
Adults
Adults (after Sept 3rd)
Kids (4-15)
Tots (0-3)
Total
__ @ $95
__ @ $105
__ @ $45
__ free
= $_______
= $_______
= $_______
= $_______
Make check payable to: Moon Festival