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Encore Creative Productions - Officer Camp Registration Form

Dallas, Texas June 5 - 8

School Name:*				Team Name:
Director:*				Email:*
Assistant Director:				Email:
School Address:*
City:*		State:*	AL AK AS AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	Zip:*
School Phone:*				School Fax:
Director Cell:*				Asst. Cell:

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Officers 2 night 3 day camp Quad occupancy per person	$355.00		# of attendees
Officers 3 night 4 day camp Quad occupancy per person	$390.00		# of attendees
Social Officers/Managers One Day Leadership -June 6th	$80.00		# of attendees
Directors 2 night 3 day camp Single occupancy per person	$475.00		# of attendees
Directors 3 night 4 day camp Single occupancy per person	$575.00		# of attendees
Directors 2 night 3 day camp Double occupancy per person	$260.00		# of attendees
Directors 3 night 4 day camp Double occupancy per person	$415.00		# of attendees

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Deposit is due on or before April 1, 2010

What do your officers need the most from officer camp?

As a Director, what types of workshops would benefit you the most?

Final Payment is due on or before May 31, 2010