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
 

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