LTC Registration

Fill out form, click submit, and send payment in full to KY YMCA, P.O. Box 4285 Frankfort, KY 40604.

First Name*	Last Name*	Age*	Sex	Grade In Fall '08

Address*	City*	State*	Zip Code*	Telephone with area code*


School	Are you a Student YMCA Member?		How many years have you attended LTC?	How many years have you attended Go For It?

Choice of Roommate (only one please)	T-shirt Size (must be registered and paid in full by July 7th to receive free sweatshirt)		May we share your information for carpooling to the conference?	Are you a vegetarian?

Repeater-Repeater Discount! Registration *and* Full Payment must be received by July 7th to qualify for discount. $50 total discount possible!		I attended KYA 2007 without scholarship assistance.Take $20 off registration fee.	I attended Go For It 2008 without scholarship assistance. Take $10 off registration fee.	I attended KUNA 2008 without scholarship assistance. Take $20 off registration fee.

E-mail Address*
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