Peachey Keene University

Registration Form

 

November 14, 2004           8:00 am to 5:00 pm

San Juan Mobile Estates Club Room

32302 Alipaz St. #193

San Juan Capistrano, CA  92675

Contact:  Candy "Butterscotch" Will,

Treasurer for Funny Business

949-489-9971

 

Name(s)__________________________________________________________________

 

Clown Name(s)_____________________________________________________________

 

Address___________________________________________________________________

 

City______________________________________________________________________

 

State______________________________Zip_____________________________________

 

Phone (_____)___________________________________

 

Email address____________________________________

 

Registration Fee in Advance $35, at the door $40____________________________________

**Pizza and Balloon Jam following the last class of the day in the courtyard outside

Accommodations:  THE Best Western Capistrano Inn

27174 Ortega Hwy. At San Diego Frwy. I-5

San Juan Capistrano, CA 92675

949.493.5661

800.441.9438

http://www.capoinn.com  ($79 for the Night)