2014 Souper Snow Sculpture Spectacular REGISTRATION FORM

The Souper Snow Sculpture Spectacular is an event to benefit the South Wood County Humane Society. It will be held on January 25, 2014 from 9:00 AM until 5:00 PM at the Centralia Center. The goal of the event is to draw families and people of all ages downtown to patronize local shops, build snow sculptures for a contest, and benefit the Humane Society. We will provide 6’ x 6’ pre-formed sculpting blocks, water, electricity, and a place to warm up. You provide sculpting tools, people power, and enthusiasm to make this a great winter event!!!

Please check the box below that represents your group :

Family and/or Organizations ($15.00)

Corporate Groups ($25.00)

Reminder: There are a limited number of sculpting sites. Please register EARLY to ensure a site.

Name of team captain: ___________________________________________________ (print clearly)

Address: __________________________________________________ City: _______________________________________ WI, (zip) __________________ Home phone number: (________) ___________________________ Work phone number: ( ) ___________________________ Email address: ____________________________________

(print clearly) Team Member Roster (please include name and e-mail address):

1. 4.

2. 5.

3. 6.

Please make your check payable to: South Wood County Humane Society SSSS Event Please mail this form and check to: South Wood County Humane Society 3621 64th Street North Wisconsin Rapids, WI 54494 If you have any questions please contact:

South Wood County Humane Society 715-423-0505 swchs@swchs.com

PLEASE RETURN THIS FORM along with your check by January 17, 2014