Museums Registration

Yes! I am interested in attending the West Goshen Township trip to the Guggenheim and Whitney Museums on November 7, 2009!

Name:_________________________Telephone:___________________

Address:__________________________________________________

_________________________________________________________

Number of adults ____ x $79 per person:	$_____
Number of seniors 65 or older ____ x $75 per person:	$_____
Number of college students with valid ID ____ x $75 per person:	$_____
Number of chidlren under 18 ____ x $65 per person:	$_____
TOTAL	$_____

Please inform me of future West Goshen trips via email at _____________________

Sorry, we are unable to process electronic payments.

Please return completed Registration Form, along with a Participant Recreation Form for each participant over 18 years of age and a Parental Permission Form for each child under age 18 with payment to:

West Goshen Township
Park and Recreation Department
1025 Paoli Pike
West Chester, PA 19380