___  Standard Adult Registration $120 each (14 years old and older) Please use separate form for each adult. 
            Both Days

        ___  Daily Adult Registration $60 each (14 years old and older) Please use separate form for each adult. 
              Per Day

        Adult Name: ________________________________________     Age: ______     Sex: _____

        Clown Name: _______________________________________

        Address: ______________________________________   Phone #:  (___) _______________

        Address 2: ____________________________________

        City: ________________________  State: _____________________  Zip Code: _________

        Country: _____________________ E-mail: ______________________
 

         ____ I am also registering my Junior Joey's ~ Junior Joey Classes (7 to 13 years old) FREE
                    (One Parent/Guardian must be registered and in attendance per three children registered.)

        Joey's Name: ________________________________________     Age: ______     Sex: _____

        Joey's Name: ________________________________________     Age: ______     Sex: _____

        Joey's Name: ________________________________________     Age: ______     Sex: _____
 

         Payment and Donations

        ___ Adult Registration Fee Inclosed:        $ ________

        ___ I am including a donation of:              $ ________

                                                             Total:         $ ________          Check M/O # ________

      Please make check or money order to : City of Sedan ~ E.K.M. ~ Clown School

      Mail Registration and Payment To: