Pre-Registration Form

Pre Registration Form

Name

Address

City/State/Zip

Phone # (if Volunteering)

Badge Name (circle one) AA Al-Anon

PRE-REGISTRATION (per person) through 1/01/10 Registration at the door $25.00	*$ / person* $20.00	# Attending	Total $
Taquito Breakfast Buffet	$20.00		$
Saturday Night Dance	$ 5.00		$
Scholarship Donation			$
Package deal (registration, buffet breakfast, dance)	$45.00		$
TOTAL INCLUDED			$

_______ Check here if you would like an opportunity to serve as a Jamboree Volunteer and please include your phone #

Please Print this Page

Make Checks Payable & Mail to:

Coastal Bend Jamboree or CBJ
P. O. Box 61000
Corpus Christi, TX 78466-1000

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The ability to register and pay for registration online has been discontinued due to technical complications.

Please register and pay by mail if you wish to get the available discount, or you can register at the jamboree.