REGISTRATION
2008 - Kenpo Super Camp/Plus
Pre Reg. and Open House 5pm-11pm -Thursday June 20, 2008
Sat June 21, 2008 - 8am-5pm
Sun June 22, 2008 - 8am-5pm
Mail to:
Tracys Kenpo
PO Box 24060
Lexington KY 40524
or Fax - 859-223-9175
or Phone - 859-271-5987

          Name (s) ______________________________________________________

         Address : Street _________________________________________

         State _______________ Zip _______________

         Phone ___________________________________________________

            e-mail _________________________________________________

          Cost:     Two days - Sat and Sun $120
                            Saturday only $65
                               Sunday only $65
                                (Circle the one you wish to attend)

        Paying by Ck ______ Make out to Kenpo Super Camp

        Paying by Credit Card # ______________________________________

                                          Exp. Date _______________Amount ________

               Signature _____________________________________________________

                                Please print or type clearly