2015 Kaua'i Round-Up

Early bird camping available from 6/10/15 & 6/11/15. No food provided for these days.
June 12-14, 2015 Anini Beach Park
“Faith without
works is dead.
A closed mouth never gets fed.”
Name (First & Last):___________________________________ Male/Female:_____________
Mailing address:______________________________________ #of children:_______ ages:__________
Email address:____________________________ Phone #:_____________________
Willing to volunteer: Y N
Bringing tent: Y N
Need Transportation: Y
(need to be pre-registered though to eat meals)
N
Payment Methods: Money Order, Certified Checks, Checks or Cash
Please make checks payable to : Kauai Round-Up P.O. Box 1761 Lihue, HI 96766
Registration for: Wknd Pass: Total_____@ $30 _____________ (13 yrs and older)
Wknd Pass: Total______@ $15 ______________(4-12 yrs old)
Day Pass: Total______@ $10 _______________ (All Ages)
0-3 yrs old FREE
T-shirts ____S
____M
Registration Total $_______________
____L
Pre-Ordered Shirts $12.50 ea. ______
(or)
____XL
____XXL ____XXXL ____XXXXL
$15.00 ea. _____ T-shirt Order Total: _______
Total Amount Enclosed $____________
Contact the Kaua‘i AA Hotline for more information: (808) 245-6677
Email: [email protected]