When: Friday, October 9 – Saturday, October 10
8:00am – 5:00 pm each day
Where: Southwest Church of Christ, 2600 S. 124th St., Omaha, Nebraska
_____________________________________________________________________________________
REGISTRATION INFORMATION REQUIRED
NAME
CLOWN NAME
ADDRESS / CITY / ZIP CODE
PHONE
COAI MEMBERSHIP NUMBER
_____________________________________________________________________________________
COST
OMAHA WILD CLOWN-DUM MEMBERS $40.00
NON MEMBERS $55.00
Mail check & completed form to: Will you be attending the pizza party
on Thursday, Oct 8? Yes____ No____
Omaha Wild Clown--‐Dum Do you have a skit you want to
PO Box 241683 perform for Paula? Yes_____ No____
Omaha, NE 68124 Will you be attending the “no host”
dinner at Big Mama’s on Saturday at
Questions???? 4:00p? Yes_____ No________
Contact Teresa Ziska
Or
402‐896‐1781
OR
JOIN OWC FOR $12.00 AND PAY $40.00 MEMBER RATE AND SAVE 3 BUCKS
CLICK HERE TO DOWN LOAD REGISTRATION FORM