Funking Conservatory Teenage Application Form
(Reserve space for the Funking Conservatory (Teenage Camp 2002)
First, fill out the following form. Next Print the page. Enclose check or money order. Send it to:

Dory Funk Jr.
P.O. Box 771-702
Ocala, Florida  34477-1702

Full Name? 


City, State and Zip? 

E-mail address? 

Telephone Number? 

Age?  Height?   Weight? 
Athletic Background? 

Deposit $150.00 included (Check or money order made out to Dory Funk) (Mark with X)
Balance due on arrival $845.00   (Total Price $995.00)

Price includes lodging, Breakfast, Transportation from Orlando Airport to the Funking
Conservatory and one week of training.
Please indicate the dates you would like to attend? 

May20 - May 25
June 24 - June 29
July 22 - July 27
August 26 - August 31
September 23 - September 28
October 21 - October 26

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