Queen’s Name __________________________________________________

Royalty members (attendants, Jr. Miss, Princess etc.)

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Queen (1 free per festival) _____________

Number of court members x $10.00 ea. _____________

Chaperones/guests x $10.00 ea. _____________

Total number attending luncheon _____________

TOTAL AMOUNT ENCLOSED _____________

*Please make checks payable to Berlin Heights Basket Festival .

Total number attending basket tour _____________

Please return registration with payment no later than Friday, July 22, 2011 to:

Kathleen Wroblewski

Basket Festival Queen Committee

10710 Berlin Rd.

Berlin Heights, Ohio 44814

419-588-7308