Please fill out the registration form completely. Fill out a form for each person. Upon form submittal, you will be taken to PayPal for the payment. $10 for each child (6 - 11) $35 for each adult (12 up) Please register by September 24th, 2011 Thank you for joining us. 5th Annual Papa Joe Memorial Seminar Please Fill Out Completely! Name:              Age: Address:            Email: City:            State:           Zip: Will you be bringing a friend: Special   Information:   Paying for child ($10):     Paying for adult ($35):