PSGW 2010 REGISTRATION FORM
NAME: Mail to: P.S.G.W.
1503 E Street
STREET ADDRESS: Bellingham, WA
CITY, STATE, ZIP / POSTAL CODE:
REGISTER ME FOR:
|_| Session One: 31 July - 6 August
|_| Session Two: 7 August - 13 August
|_| Session Three: 14 August - 20 August
If the session I have chosen is full, I wish to:
|_| be wait-listed for my session
|_| try for Session _______.
|_| be put on the shortest wait-list.
|_| have my deposit returned.
|_| I haven't attended PSGW before.
|_| Please send me a scholarship application.
|_| I can't attend this year, but please add my name
to next year's mailing list
COMMENTS OR SPECIAL NEEDS (e.g. vegetarian): _____________________
I enclose $________ Tuition Deposit ($200 per person per session)
($599 balance due at camp)
I enclose $________ in addition to my
deposit as a tax-deductible contribution. (Thanks!)
The total enclosed is $________ (U.S. funds)