Fourth Annual Region II Clinics/Annual Meeting/Awards Dinner
Saturday, November 17, 2007
Flying Cloud, 1200 Jacobson Lane Petaluma, CA 95492

www.flyingcloudfarm.com


SCHEDULE COSTS DEADLINE (including payment) - November 9, 2007.

PRINT OUT THESE FORMS, MAKE CHECK TO AVA REGION II
MAIL WITH CHECK TO: Carol Beutler, 2780 Goodwin Ave. Redwood City, CA 94061

Registration for HALF HOUR INDIVIDUAL SESSION
(one session per vaulter only)


Vaulter Name: _____________________________________
Club Affiliation: ____________________________________
Vaulter's Age: _______
Vaulter's Level: [ ] Tiny Tots [ ] Preliminary Trot [ ] Trot [ ] Copper [ ] Bronze [ ] Silver/Gold
Individual Session requested:
[ ] Top Level Coach (TBA) - held between 8:00 am - 11:30 am 7 sessions available
[ ] Nancy Stevens-Brown - held between 8:00 am - 11:30 am 7 sessions available
[ ] Nancy Stevens-Brown - held between 12 noon - 4:00 pm 8 sessions available
If the Coach TBA Sessions are full, are you interested in switching to a Nancy Stevens-Brown session?
[ ] Yes [ ] No
Note: if you end up with an early session, take the opportunity to visit one of the excellent restaurants or attractions in the area.
PAYMENT: $25

Registration for REGION II ANNUAL CLINICS/MEETING/DINNER/AWARDS
(One registration form per vaulter or parent participating in clinics)


Vaulter Name: _____________________________________
Parent's Name: _____________________________________
Club Affiliation: ____________________________________
Vaulter's Age: _______
Vaulter's Level: [ ] Tiny Tots [ ] Preliminary Trot [ ] Trot [ ] Copper [ ] Bronze [ ] Silver/Gold
Parents Clinics: Please list any subjects you would like to learn about, anything you would like to see or activities you would like to have offered:
____________________________________________________________________________________

PAYMENT
Questions: Carol Beutler cbeutler@bcglobal.net or phone 650/366-7527