HOME MY REFERENCES MY CREDENTIALS MY PICTURE ALBUM I'M IN THE NEWS


Click Here for a
Free Quotation


Please feel free to contact me at 705-878-6852 or E-mail me.
Checkers Professional Clown Training


Click Here for a
Free Quotation

Basic Clown Course Registration Form

I wish to be registered for February   May.  Please identify which one.  

Last Name:     First Name:

ADDRESS   
Street1:     Street2:
     City:    Postal Code:    

Home Phone:     Business Phone:
     E-mail: 

My current experience: New Clown    under 1 year      1 to 5 years  5 to 10 years    over 10 years

My goal as a Clown is to be a:

 Volunteer Professional Part-time

I would like to work with:

Children Seniors Everyone

I would like to Care Clown at:

 Hospitals Seniors Homes General Clowning

Comments:

 

Credit Card Information
Visa Master Card American Express 
Number    

 Expiry Date:
Name on credit card: (MM) (YYYY)

This course is a 2-hour workshop every Monday for six weeks. The first workshop starts February 3 from 6 – 8 P.M.  By request we are offering this same course starting May 5 from 6 – 8 P.M.
The location will be the City of Kawartha Lakes Lindsay Branch Library located 190 Kent St. W. in Lindsay.
The cost is $300.00 if registered by January 26th or April 26th  and $325.00 after January 26th or April 26th. We accept payment by cash, cheque, Visa, Master Card or American Express.

Should you require any additional information,
 please feel free to contact me at 705-878-6852 or E-mail me.
 Created by
Steve Coppin Webs
 Copyright © 2002 Checkers The Clown
All rights reserved. Information in this document is subject to change without notice. Other products
and companies referred to herein are trademarks or registered trademarks of the respective companies or mark holders.