DNR Reg Form

2007 Andover SnoDragons
Snowmobile Safety Training Registration Form

Name of Parent or Guardian: _______________________________________________

Address: _______________________________________________________________

City: _________________________________________ Zip: ____________________

Phone (evening): ________________________________________

Student's Full Legal Name and Birth date:

1. ____________________________________________________________________

2. ____________________________________________________________________

3. ____________________________________________________________________

Class Dates (number choices in order of preference):

_______ October 1st & 3rd 6-9:30 PM (Saturday, October 13th testing 8AM)

_______ October 8th & 10th 6-9:30 PM (Saturday, October 13th testing 8 AM)

Classes held at Oakview Middle School in Andover

Registration Selections:

If already a member of the Minnesota United Snowmobilers Association,
please enter member number: _______________

To join MnUSA:
($20.00 per household) _______________

To join Andover SnoDragons:
($10.00 per household, in addition to $20 for MnUSA, or existing MnUSA member number $30.00 Total) _______________

Student Registration:
($10.00 per student) _______________

Total
Enclosed: _______________

Please mail this completed form, with your check or money order to:

Andover SnoDragon's

Attn: John Maniak
10530 Quinn St NW
Coon Rapids, MN 55433

(please use your browser's "Back" button to return to the Safety page of the Sno Dragon's website)

If already a member of the Minnesota United Snowmobilers Association, please enter member number:	_______________
To join MnUSA: ($20.00 per household)	_______________
To join Andover SnoDragons: ($10.00 per household, in addition to $20 for MnUSA, or existing MnUSA member number $30.00 Total)	_______________
Student Registration: ($10.00 per student)	_______________
Total Enclosed:	_______________