Registration Form

[Print out this form, complete, and send to our address below with your deposit.]

Students of all levels are welcome.

A non refundable $200 per person is due upon registration. The balance which is non refundable, is due by

January 4th.

Please make sure you have vacation insurance if there is any unforeseen possibility of cancellation.

*Please include this form with your deposit

Puerto Morelos, Mexico

Name__________________________

Address________________________

           City/State/Country_____________________

          ZIP__________ Phone _________________

           E-mail_______________________________

          Amount Enclosed______________________

          Housing_____________________________

     Further Information Contact :  

Amanda McMaine

154 Redwood Dr

Richmond KY, 40475

Phone: (859) 200-0688

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