Mogul Logic Winter Park Sessions "20010" Registration!
Print me out! Send me in!

Name_________________________________Age_____Sex____
Address______________________________________________
City_________________________State_________Zip_________
Home Phone__________________Work Phone______________
E-mail_______________________
Insurance Co. and Policy#
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Camp (Choose camp and Payment Package)

Please make checks payable to Mogul Logic!
Or pay securely online using the links below.

Session 1: Coaching and Tickets $440.00
Session 1: Coaching Only $370.00
Session 2: Coaching and Tickets $440.00
Session 2: Coaching Only $370.00

Release: I hereby release Chuck Martin, All Mogul Logic staff members, Winter Park Ski Area, Martindale Productions and Mogul Logic Inc., for any and all said injures suffered by me at said camp activities and sessions and traveling to and from same or during participation in any camp activities.

Applicant Signature____________________________Date____

Mail or E-mail to:
chuck@mogullogic.com
Mogul Logic
4279 Monroe Dr. Suite D
Boulder, CO. 80303
Ph:303-589-4032