Serenity by the Lake - 2010
September 24 - 26, 2010

To register for this event print this form, fill out, and mail to:

Serenity by the Lake 2010

PO Box 2114

Page, AZ 86040

Registration is $12.00 per person, this includes Saturday night dinner, children under 12 dinner tickets are $6.00

Make check out to "Serenity by the Lake 2010"

Names of persons registering @ $12.00 each                 
     ________________________________

     ________________________________

     ________________________________

     ________________________________                              _____      @ $12 each $ ____________

Names of persons registering @ $6.00 each

     ________________________________

     ________________________________

     ________________________________

     ________________________________                              _____      @ $ 6 each  $____________

Colorado River Raft Trip (registration must be received on or before Sept 15, 2010)

($65.00 per person)

Names of persons registering for river trip @ $65.00 each, children welcome!

     ________________________________

     ________________________________

     ________________________________

     ________________________________

     ________________________________                             _____    @ $65 each   $ ___________

                                                                                                    Grand Total =   $ ___________

YOUR PHONE _____________________

YOUR EMAIL ______________________________________

The raft trip leaves by bus on Friday September 24th from the Colorado River Discovery Store at 130 6th Ave. in Page, AZ. Be at the store at 12:30 PM to check in. The bus returns to the store at 6:30 PM. Bring a lunch or snack. Soft drinks will be provided.

WEAR A HAT, AND BRING A WINDBREAKER OR SWEATSHIRT.

SERENITY BY THE LAKE

PO BOX 2114

PAGE, AZ 86040