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Name _____________________ Address____________________ __________________________ Age_____ Phone ____________ Please fill out the above and circle your interest below: Skateboarding In Line Blading BMX Biking Did you participate or attend the Competetion 2003? Yes or No Participant and Gate prizes will be drawn.

ADMISSION TICKET TO “COMPETITION 2004” AT THE Marshfield, Wisconsin Saturday, August 7, 2004 and Sunday, August 8, 2004 Amateur Participant Tickets: $20.00 (yellow) plus waiver completion Spectator Tickets: $5.00 (blue) for Saturday & Sunday events/ $3.00 (green) for Sunday events only/ Ages under 6 free both days Concessions will be available. Participant and Gate prizes will be drawn. KEEP your ticket for Skatepark Admission. THE EVENT PROCEEDS WILL GO TO THE PURCHASE OF A SPINE FOR THE MARSHFIELD SKATEPARK . IF THE EVENT IS CANCELLED DUE TO WEATHER, THE ADMISSION FEE WILL BE TREATED AS A DONATION. NO REFUNDS. HELMETS ARE REQUIRED - PADS ARE RECOMMENDED. _ _PP_ _ ______________________________ SIGNATURE needed for admission

[WAIVER COMPLETION] [Saturday] [Sunday] [CHiPS]