2015 Kaua'i Round-Up
Early bird camping available from 6/10/15 & 6/11/15. No food provided for these days. June 12-14, 2015 Anini Beach Park “Faith without works is dead. A closed mouth never gets fed.” Name (First & Last):___________________________________ Male/Female:_____________ Mailing address:______________________________________ #of children:_______ ages:__________ Email address:____________________________ Phone #:_____________________ Willing to volunteer: Y N Bringing tent: Y N Need Transportation: Y (need to be pre-registered though to eat meals) N Payment Methods: Money Order, Certified Checks, Checks or Cash Please make checks payable to : Kauai Round-Up P.O. Box 1761 Lihue, HI 96766 Registration for: Wknd Pass: Total_____@ $30 _____________ (13 yrs and older) Wknd Pass: Total______@ $15 ______________(4-12 yrs old) Day Pass: Total______@ $10 _______________ (All Ages) 0-3 yrs old FREE T-shirts ____S ____M Registration Total $_______________ ____L Pre-Ordered Shirts $12.50 ea. ______ (or) ____XL ____XXL ____XXXL ____XXXXL $15.00 ea. _____ T-shirt Order Total: _______ Total Amount Enclosed $____________ Contact the Kaua‘i AA Hotline for more information: (808) 245-6677 Email: [email protected]
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