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<html> <head> <meta http-equiv="content-type" content="text/html;charset=iso-8859-1"> <title>Registration</title> <meta name="generator" content="Registration"> </head> <body text="#0033ff" link="#990033" background="BkgndY.jpg"> <table cool width="785" height="601" border="0" cellpadding="0" cellspacing="0" gridx="16" showgridx usegridx gridy="16" showgridy usegridy> <tr height="32"> <td width="16" height="600" rowspan="11"></td> <td width="16" height="32"></td> <td width="128" height="64" rowspan="2"></td> <td width="624" height="32" colspan="7" valign="top" align="left" xpos="160"> <table border="4" cellpadding="0" cellspacing="2" width="400"> <tr> <td> <center> <font size="4">Registration forms for Summer Camp 2002</font></center> </td> </tr> </table> </td> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> </tr> <tr height="32"> <td width="16" height="32" valign="top" align="left" xpos="16"> <form name="RegistrationBeginner" action="mailto:[email protected]" method="post" enctype="text/plain"> </td> <td width="224" height="32" colspan="4"></td> <td width="400" height="128" colspan="3" rowspan="4"></td> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> </tr> <tr height="32"> <td width="16" height="32"></td> <td width="288" height="32" colspan="3" valign="top" align="left" xpos="32"><input type="text" name="StudentName" size="46" value="Student's Name" tabindex="1"></td> <td width="64" height="32" colspan="2" valign="top" align="left" xpos="320"><select name="Age" size="1" tabindex="2"> <option value="5" selected>Age <option value="5">5 <option value="6">6 <option value="7">7 <option value="8">8 <option value="9">9 <option value="10">10 <option value="11">11 <option value="12">12 <option value="13">13 <option value="14">14 <option value="15">15 <option value="16">16 <option value="17">17 <option value="18">18 <option value="Adult">Adult </select></td> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> </tr> <tr height="32"> <td width="304" height="32" colspan="4" valign="top" align="left" xpos="16"><input type="text" value="Parent's Name" name="ParentName" tabindex="4" size="46"></td> <td width="64" height="64" colspan="2" rowspan="2"></td> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> </tr> <tr height="32"> <td width="304" height="32" colspan="4" valign="top" align="left" xpos="16"><input type="text" value="Street Address" name="Street Address" size="46" tabindex="5"></td> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> </tr> <tr height="32"> <td width="304" height="32" colspan="4" valign="top" align="left" xpos="16"><input type="text" value="City" name="City" size="46" tabindex="6"></td> <td width="64" height="32" colspan="2" valign="top" align="left" xpos="320"><input type="text" value="State" name="State" size="6" tabindex="7"></td> <td width="400" height="32" colspan="3" valign="top" align="left" xpos="384"><input type="text" value="Zip" name="Zip" size="10" tabindex="8"></td> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> </tr> <tr height="48"> <td width="144" height="48" colspan="2" valign="top" align="left" xpos="16"><input type="text" value="Home Phone" name="Home Phone" size="15" tabindex="9"></td> <td width="128" height="48" valign="top" align="left" xpos="160"><input type="text" value="Work Phone" name="Work Phone" size="15" tabindex="10"></td> <td width="128" height="48" colspan="4" valign="top" align="left" xpos="288"><input type="text" value="Fax" name="Fax" size="15" tabindex="11"></td> <td width="16" height="48"></td> <td width="352" height="48" valign="top" align="left" xpos="432"><input type="text" value="email address" name="email address" size="38" tabindex="12"></td> <td width="1" height="48"><spacer type="block" width="1" height="48"></td> </tr> <tr height="192"> <td width="768" height="192" colspan="9" valign="top" align="left" xpos="16"><textarea name="Comments" cols="105" rows="14" tabindex="13">Please use this text field to ask questions or make further inquiries.</textarea></td> <td width="1" height="192"><spacer type="block" width="1" height="192"></td> </tr> <tr height="32"> <td width="272" height="32" colspan="3" valign="top" align="left" xpos="16"><input type="submit" value="Click Here to Send Registration" name="submitButtonName" tabindex="14"></td> <td width="32" height="168" rowspan="3"></td> <td width="96" height="32" colspan="3"></td> <td width="368" height="168" colspan="2" rowspan="3"></td> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> </tr> <tr height="32"> <td width="272" height="136" colspan="3" rowspan="2"></td> <td width="96" height="32" colspan="3" align="left" xpos="320" content valign="top" csheight="32"> <center> <a href="index.html">Home</a></center> </td> <td width="1" height="32"><spacer type="block" width="1" height="32"></td> </tr> <tr height="104"> <td width="16" height="104"></td> <td width="48" height="104" valign="top" align="left" xpos="336"><img height="103" width="40" src="AngelUp.gif"></td> <td width="32" height="104"></td> <td width="1" height="104"><spacer type="block" width="1" height="104"></td> </tr> <tr height="1" cntrlrow> <td width="16" height="1"><spacer type="block" width="16" height="1"></td> <td width="16" height="1"><spacer type="block" width="16" height="1"></td> <td width="128" height="1"><spacer type="block" width="128" height="1"></td> <td width="128" height="1"><spacer type="block" width="128" height="1"></td> <td width="32" height="1"><spacer type="block" width="32" height="1"></td> <td width="16" height="1"><spacer type="block" width="16" height="1"></td> <td width="48" height="1"><spacer type="block" width="48" height="1"></td> <td width="32" height="1"><spacer type="block" width="32" height="1"></td> <td width="16" height="1"><spacer type="block" width="16" height="1"></td> <td width="352" height="1"><spacer type="block" width="352" height="1"></td> <td width="1" height="1"></td> </tr> </table> <form name="FormName" method="get"></form> </body> </html>