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IOWA LAKES > Alumni & Foundations > Events > Scholarship Poker Ride Pre-Registration

2008 Scholarship Poker Ride - Pre-Registration
Saturday, July 19
8-9 a.m. Registration

Route: Algona - Emmetsburg - Spencer - Spirit Lake - Estherville
 
I am the: Driver    Passenger  

Please check this box if you are under 18 years old: Minor

(Choose ONLY ONE box from ONLY ONE of the three choices for entry gift):
 T-shirt size: Small Medium Large XL  2XL 3XL 
  OR
 Woman's Tank Top size: Small   Medium   Large   XL    2XL
  OR
 Bandana

 
Name:
Address:
City:
State:
Zip:
Phone:
E-mail:

NOTICE
Due to ordering deadlines for shirts and tanks,
we can no longer guarantee the size you order
will be available.   

$20 per rider fee includes:
*entry gift *lunch *beverages *snacks *games
*door prizes *scholarship donation 
   

To speed up registration the day of the event, please print and sign the appropriate waiver and bring it with you:
Event Release Form for Adults -
Event Release Form for Minors -

Please indicate Payment Option:
I wish to be billed for total amount due
I will send check payable to the Iowa Lakes Community College Foundation
I wish to make payment using a credit card and would like to be contacted

Mail payment to:
Iowa Lakes Community College
Institutional Advancement
19 South 7th Street
Estherville, IA 51334


  
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Campuses in Algona, Emmetsburg, Estherville, Spencer and Spirit Lake.
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Questions or comments? Please email us at info@iowalakes.edu or call (712) 362-2604 or 1-800-521-5054.
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