Name:__________________________________________Phone:______________________________

 Address:___________________________________________________________________________

 City, State, Zip:_____________________________________e-mail_________________________

 You will be enrolled in one class. Please list your 3 choices in order of preference.
​Classes will be filled in the postmarked order they are received.

 1st______________________________________

2nd____________________________________

3rd_____________________________________

$_$70.00 __ Registration fee (This includes one Tuesday Lasagna dinner for the participant)

 __________ $11.00 for Tuesday night Lasagna dinner for a GUEST (Participants Dinner is included in fee.)

 __________ $10.00 for a lunch on Wednesday (Hot Beef Sandwich, Chips, Italian Green Salad, Relish Tray, Dessert, Lemonade and Coffee)

 __________ $15.00 Thursday for a special cook-out lunch. (Choice of Hamburger, Brat, or Hot Dog, Baked beans, Potato Salad, Tomato & Cucumber Salad, Cookie, Lemonade & Coffee)

 __________ $10.00 for a lunch on Friday (Hot Barbecue Chicken Sandwich, Fresh Fruit, Potato Chips, Dessert, Lemonade, and Coffee)

$__________ Total Amount Enclosed (You will pick up the meal tickets on August 14th when you register.)

Registrations need to be sent in the mail along with a check in order to secure a place in the workshop.

Musky Area Woodcarvers Workshop August 13 – 16, 2019
​Registration Form

Make Check payable to: MUSKY AREA WOOD CARVERS
Only one person may register per form.

Mail to:
Mary Moscinski
4447 Scarlet Oak Dr.
Rockford, IL 61109

 After May 15th mail to:
Mary Moscinski
8881 Fischer Landing Rd
Woodruff, WI 54568