“Family Fun Fair” Registration Form
August 23, 2008 – 11:00 a.m. to 2:00 p.m.
NAME OF PERSON OR AGENCY:
Interested Not Interested in participating
ACTIVITY OR TOPIC TO BE PRESENTED:
SPECIAL EQUIPMENT OR ACCOMMODATIONS:
IS THERE ANY COST FOR YOUR EVENT?
PLEASE RETURN BY JULY 25, 2008 TO:
Potter County Human Services
“Family Fun Fair”
62 North Street, PO Box 241
Roulette, PA 16746-0241