Nor’ Easters Snowmobile Club
P.O. Box 517                                                                           www.noreasters.org
Hollis, New Hampshire  03049                                                                      Tel: (603) 880-7011/7022
E-Mail address: phaigh.paradise@comcast.net                                           Fax: (603) 880-7099

STUDENT REGISTRATION
(One Application per student - Make copies if necessary)

NAME:                                                                                                                           

AGE:                             DATE OF BIRTH:                                   EYES:                           

HAIR:                   SEX:                           ALLERGIES/MEDS:                                        

ADDRESS:                                                                                                                   

CITY:                                                    STATE: ________ ZIP:                                              

HOME TELEPHONE: ____________________ WORK TEL:                                             

E-MAIL: _________________________________________

$20.00 Donation Enclosed: $___________________

Please make payments payable to: Nor’Easters Snowmobile Club

Mail completed application with $20.00 donation to: 

Nor’Easters Snowmobile Club, P.O. Box 517, Hollis, New Hampshire  03049

Donation to include: Snowmobile Safety Course and a Pizza Lunch with Beverage.

Class Details:

Date: Saturday, December 1, 2007

Time:  Register at 8:30AM, Class Begins at 9:00AM, Finish Time approximately 2:30PM

Location: Lone Pine Hunter’s Club, 114 Rideout Road, Hollis, NH  03049

Nor’Easters Snowmobile Club

P. O. Box 517

Hollis, New Hampshire 03049

CLASS SIZE IS LIMITED TO 45 PARTICIPANTS

For additional course information please contact:

Patty Haigh or Lauren Watts at (603) 880-7011/7022