2019 LEGO CONTEST PRE-REGISTRATION FORM
$15 entry fee when you register by 3/8/19; $20 entry fee afterward or at the door, the day of the event, if there is space.
Enter me in the LEGO contest on Saturday, March 16 at NewsBank Conference Center, 352 Main St., Chester, VT.
Enclosed is my per space entry fee. I must set up my PRE-BUILT entry between 9 and 10 AM on March 16.
TITLE OF ENTRY_________________________________________________________________________________
INDIVIDUAL, TEAM, OR FAMILY NAME (circle category and write name) __________________________________
NAMES, GRADES, AND AGES OF ALL ENTRANTS (age of oldest team member determines grade)
________________________________________________________________________________________________
*I give permission for LEGO pictures and quotes of my child/children to be used by St. Luke’s for publicity.
*Print parent name __________________________ Signature ______________________________ Date ________
ADDRESS _______________________________________________________________________________________
PHONE ___________________ EMAIL _________________________ Grade, Family, or Motorized Category (circle)
NUMBER OF SPACES (@ 24”x 36” each) NEEDED:________x $15 = AMOUNT ENCLOSED____________________
Mail form and check to Registrar Lillian Willis, PO Box 318, Chester, VT 05143 by 3/8 to confirm pre-registration
and reserve space.
Make check payable to "St. Luke’s Church". Questions? Call Lillian Willis at 802-875-1340.

© 2016 St. Luke's Episcopal Church 

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