Yes! I am interested in attending the Lancaster Holiday trip with West Goshen Township on December 6, 2008!

Name:_______________________Telephone:__________________

Address:_______________________________________________

______________________________________________________

Number of adults attending:_____ x $80 per person:__________

Number of children attending:____ x $60 per person:_________
(17 years or younger)

                         TOTAL PAYMENT:_________

Please inform of future West Goshen trips via email at ______________

Sorry, we are unable to process electronic payments.

Please return completed Registration Form, along with a Participant Recreation Form for each participant over 18 years of age and a Parental Permission Form for each child under age 18 with payment to:

West Goshen Township
Park and Recreation Department
1025 Paoli Pike
West Chester, PA 19380