Carnival Games Application Form
Thursday, June 11, 2009
5 - 7 pm

Organization:
Contact Person:
E-mail Address:
Telephone Number:
Mailing Address:
City and State:	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code:
Each carnival game will be automatically allocated a 12 foot X 12 foot space. Please be sure to indicate below if more space is needed. Avon Health Center will provide prizes.
Booth Description:
Special Requirements?:
Number of Volunteers:

Questions or Suggestions? Contact:

Lisa Woodcox, Director of Recreation
Avon Health Center, 652 West Avon Rd.
Avon, CT 06001

(860) 673-2521 or Email recreation@avonhealthcenter.com