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Please fill out and return this form if you would like to host a carnival booth for the Lobo Club's 2012/2013 School Year theme "Super Heroes." Provide booth name, required equipment, game objective, difficulty level, determination of winners, ticket issuance, consolation prizes, teacher/sponsor details, and funds disbursement information.
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Carnival BoothRequest Please fill out and return to the Lobo Club 2012/2013 School Year theme: “Super Heroes” Booth Name________________________________________________ Will need: Electric Other________________________________ Object of the game__________________________________________ Degree of Difficulty: Pre-K, K ,1 ,2 ,3 ,4 ,5 ,6 ,7 ,8 , + (circle one) How will “wins” be determined?______________________________________________ How many “Win” tickets be issued per chance?_______________________________ All participants will receive a consolation prize of 1 Win ticket for their attempt. (exceptions being Fish Pond or pick a Pocket type game) Teacher/Sponsor________________________________________________ Grade_________________ School___________________________________ Combined Effort (names)_____________________________ Funds Disbursement ________________________________ (make check payable to) For the treasurer use only Income ______________ Expense ______________ Proceeds Received _________ Date ______________ Amount ______________ Check number _____________