Note:  This is not an official registration form - use at your peril!

                             REGISTRATION FORM
                        HAWAIIAN JUGGLING FESTIVAL
                              FEB 12-19, 1995

TO REGISTER FOR THE FESTIVAL, FILL OUT THIS FORM; THEN SEND A PHOTOCOPY OF
THIS PAGE, ALONG WITH YOUR PAYMENT IN US DOLLARS, TO H.V.C.
BRING THIS FLIER TO HAWAII SO THAT YOU HAVE YOUR COPY OF THE REGISTRATION
FORM, FESTIVAL INFORMATION, AND IMPORTANT PHONE NUMBERS.

Name(s)________________________________________________________________________

Address __________________________________________Phone________________________

City, State, Zip  _______________________________ Country______________________

Number of Adults______at $125.00 each (if mailed by Dec 31, 1994)..Total_______
Number of Adults______at $175.00 each (if mailed after Jan 1, 1995)......______
Number of Kids (3-12 years old)_____ at $75.00 each (any date)...........______
Number of Kids under 3 years old as of Feb 12, 1995______Free

Number of Meal Plans (Adult)         ______ at $125.00 each..............______
Number of Meal Plans (Kids under 13) ______ at  $75.00 each..............______

If you can't join us for the full festival, you can register on a nightly basis:
Number of Adults             (____) x ($30/night) x (___) nights = ......______
Number of Kids (3-12)        (____) x ($15/night) x (___) nights = ......______
Which nights?  Feb 12__ Feb 13__ Feb 14__ Feb 15__ Feb 16__ Feb 17__ Feb 18__
No early-registration discounts on meal plans or night-by night registration 
fees.  No partial meal plans.

TODAY'S DATE __________    CHECK # ______________    AMOUNT ENCLOSED $ ________
You must pay your registration fee in full by December 31, 1994 to receive the 
discount rate.

Date of arrival, Time, Airline, Flight Number _________________________________
Do you need a ride from the Kona airport to the Fest? Yes___ No___  # People___
(Airport pick-up costs $10/person, payable to the driver at the time of pick-up)
(Feb 12-19 only).  Phone (808) 965-8756 from the Honolulu airport (while you
wait for your inter-island flight) to reconfirm the time of your arrival in Kona.
This will assure faster pick-up and less waiting.

Do you plan to rent a car?  Yes___  No___ From when to when? ___________________

Are you willing to Teach a Workshop? Yes___  No___  On what? ___________________

Your Native Language ___________  Other Languages you speak ____________________


MAIL YOUR REGISTRATION AND PAYMENT  (Check, Money Order, or Traveller's Checks)
PAYABLE TO "H.V.C" IN U.S. DOLLARS to:                   (Sorry no Eurocheques)

        H.V.C.
        c/o Vaudeville Central          From outside the USA, please send your
        4207 First Ave NW               registration and payment via AIRMAIL
        Seattle, WA 98107               so that they arrive before you do
        U.S.A.

Festival use only:
Total Due________  Balance Due_____________     Cash___________         Tent#
Pre-Paid_________  Paid at Festival________     Check_______#_________  Meal#
Adjustments______  Paid in Full____________     Traveller's Checks______