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www.aajhsc.org 14 th Annual Student Retreat Saturday, February 4, 2012 12 Noon-end of Sun’s game ( approx 9:15pm) (Registration/check-in begins at 11am) US Airways Center 201 East Jefferson Street Phoenix, Arizona 85004 Registration

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www.aajhsc.org

14th Annual Student Retreat

Saturday, February 4, 2012

12 Noon-end of Sun’s game (approx 9:15pm)

(Registration/check-in begins at 11am)

US Airways Center

201 East Jefferson Street

Phoenix, Arizona 85004

Registration

Total number of students & adults attending the Student Retreat_______________

There is a limit of 12-15 students per school plus advisor and chaperon(s). The cost is $30.00 for each person who attends, students and adults, (invoice below). The fee includes the Phoenix Suns vs. the Charlotte Bobcats game immediately following the retreat.

 (In the event that the game is canceled, for each registration paid in full, you will receive one future game ticket voucher. The AAJHSC will sponsor a dance with a live DJ at the US Airways Center in place of the canceled game.)

*Please note that backpacks are not allowed in the US Airways Center

Name of School ____________________________________

School Address ___________________________________

_____________________________________

School Phone ______________________________________

Advisor’s Name(s)______________________________________

______________________________________

Advisor’s Cell # ______________________________________

Please return this form by fax or email by January 27, 2012 or call us at 520-237-4089 (John) or 520-820-5895(Susin) or email at aajhsc@yahoo.com or fax to 520-393-7043 to notify us of the number attending (and shirt sizes) so we can insure there will be enough materials for all persons attending.

The Student Retreat Agenda will be available at aajhsc.org prior to the event.

Please see next page for shirt order!

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14th Annual Student Retreat

Shirt Order

School name __________________________________

Please complete shirt sizes for each participant (students & adults):

Shirts are adult sizes: small, medium, large, x large and xx large

Number of: small _________

medium _________

large _________

X large _________

2X large _________

We must receive this form by January 27, 2012 to insure you get your shirts!

Phone 520-237-4089

Email aajhsc@yahoo.org

Fax 520-393-7043

There is an invoice below to fill in for your business department or we can send an invoice when we receive your PO.