Registration Form ~ Lessons with Mr. Randy Boni

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Name: _______________________________________________________________________  Age: _____________

Address:  _______________________________________________________________________________________

Phone 1:  _______________________________________________________

Phone 2:  _______________________________________________________

How many days would you like: _______

First Choice of Date(s): ___________________________     Second Choice of Date(s): : __________________________

Please call ahead for date availability:   423 - 613 - 9673

Carve At Your Own Risk and Release of Liability:  I. (name): ___________________________________, state that I am comfortable with handling and running a chainsaw, and, that I am participating in 'Lessons With Randy', at my own risk.  I also state  that Simple Abundance, Mr. Randy Boni, his hairs, and his assets are released from all liability,  due to any injury and harm that I may receive..

Your signature: ____________________________________, Date: ___________________

Along with this Registration Form,

please enclose a commitment check ~  payable to:  Simple Abundance, in the amount of $50.00

Mail To:

Simple Abundance

490 Trentham Hollow Road

Parrottsville,  TN  37843