Name____________________________________________________

 

 Street________________City____________State_____Zip________

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 Phone:________________Email:_______________________________

 

                                                                       Number Of Tickets

 Weekend                                  $40 times__________ = $______

 All Day Saturday                        $30 times___________ = $______

 Children 8 to 15 Years Old          $20 times___________ = $______                                                                       

​ Dry Camping                         $15 times________Nights = $______

                                                                                                                                                                               TOTAL $_________

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   Children under 8 are admitted free (Must be accompanied by an Adult)

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        Individual Sessions Are Available at the Door for $15

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Make Checks Payable To: Green Bluff Grange

                               Mail to: Bluegrass On The Bluff

                                          18825 N Dunn Rd

                                          Colbert, WA  99005-5032

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                                             Cancellation Policy

                       Full refund for cancellations received by April 30

                        50% refund for cancellations received by May 14

                                         No refunds after May 14