Name :


Email :



Saturday Night Dinner

# of Adult Dinners :

Pork Burger in Paradise : $10



# of Children Dinners :
(10 and under : Hot Dog & Chips)



Monday Pancake Breakfasts

# Race participants :
(free)



# of Additional Monday Pancake Breakfasts :
$2



Checks are the only form of payment accepted, please no cash.

Make check payable to : AYC Entertainment.

Please bring your check to the event.

(Note ... after clicking on "Submit", you will be taken to a "Thank You for contacting us" page. We don't anticipate any difficulties, but just in case ... if you are not automatically taken to the "Thank You" page, please email your registration info directly to Ed Marks)