PO Box 32876 Tucson AZ 85751

19th Annual Student Retreat

Saturday, February 4, 2017 12 Noon-end of Sun’s game(approx 9:15pm)

(Registration/check-in begins at 11am)

Talking Stick Resort Arena

201 East Jefferson Street Phoenix, Arizona 85004

Registration

PO# ______OR Check # ______

Please note that we must have a PO number or a check when you arrive at this event!

Cost is $35 for each person who attends, students and adults. No food will be served.

Number of students & adults attending the entire Student Retreat ($35ea)_____

Number of parents, chaperons, guests purchasing game ticket only ($25ea)______

The fee includes the Phoenix Suns vs. the MilwaukeeBucks game following the retreat.

NBA regulations prohibit backpacks in the Talking Stick Resort Arena. Athletic shoes must be worn.

Name of School ______

School Address ______

______

School Phone ______

Advisor’s Name(s)______

______

Advisor’s Cell # ______

Please return this form by fax or email by February 2, 2016or call us at 520-237-4089 (John) or email at or fax to 520-620-9761 to notify us of the number attending (and shirt sizes) so we can insure there will be enough materials for all persons attending.

Or mail to AAJHSC PO Box 32876 Tucson AZ 85751

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

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

19th Annual Student Retreat

Shirt Order

School name ______

Please complete shirt sizes for each retreat participant (students & adults) who pay for entire retreat ($35)

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

Number of: X small ______

small______

medium______

large ______

X large ______

2X large______

Shirts will be given to advisors who attend the Advisor Retreat in Prescott on January 13-14, 2017, so that students may wear them to the retreat.

Otherwise, we must receive this form by February 2, 2017 to insure you get your shirts at the Suns retreat! Phone: 520-237-4089

Email:

Fax: 520-620-9761

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

/ INVOICE
PO Box 32876
Tucson AZ85751-2876 / INVOICE DATE:
Phone: 520-237-4089 Fax: 520-620-9761 / ______
Taxpayer ID# 86-0943007
District Billing Address: / School Address:
District Name: / School:
Accounts Payable/Student Activity / Advisor Name:
District Address: / Address:
City/State/Zip / City/State/Zip
Qty / Event Description / Amount Each / Amount
Registration fee for 19th Annual / $35.00
Student Retreat on 2/ 4/17 at Talking
Stick Resort Arena in Phoenix AZ
Parent, Chaperon, Guest: Game ticket only / $25.00
PO#
Subtotal:
Tax: / XXXXXX
Shipping: / XXXXXX
Grand Total:
Notes: