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Class Sign-Up Form


Name _________________________   Phone___________ email __________________

Address_______________________________________________________________

______________________________________________________________________

Additional Participants_____________________________________________________

Address(es) ____________________________________________________________

______________________________________________________________________

Program Choice_________________________________________________________

Dates Chosen___________________________________________________________

Total Cost_______________  Deposit (50) __________________

Deposits must be received to assure placement in a program. Balance of program cost is due on the first day of your chosen program.


Waiver

    I hereby acknowledge that the use of tools and equipment related to the program I have chosen poses a risk of injury to myself; and by signing this waiver, I absolve Seth Persson Boat Builders, Persson Manufacturing Company, their personnel and assigns, from all responsibilty for any injuries I may incur during the course of this program.

Signed___________________________    ________________________________

________________________________    ________________________________

                                                                 

Please print form and mail along with deposit to
Persson Mfg., 17 Industrial Park Rd Unit #5  Essex, CT 06426


                                                                                           


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Contact us at perssonmfg@abac.com
17 Industrial Park Rd Unit #5   Centerbrook, CT 06409       Phone  860-767-3303
Copyright © 2004 Persson Mfg

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