CAMPER
INFORMATION: |
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| *
Full Name: |
( Camper's name) |
| *
Grade: |
(Grade entering this fall) |
| *
Gender: |
Boy Girl |
| *
Select
a Camp: |
Champlin Park HS in Champlin, MN (July
7-9, 2008) |
| *
Choose
Option: |
$185 - OPTION 1: Includes Camp registration, Jay Wolf's Deluxe Star Shooter Program and a and a camp T-shirt - A $230 Value! |
| $170 - OPTION 2: Includes Camp registration, Jay Wolf's patented SHOOTING STRAP™ and a camp T-shirt. | |
| PARENT
CONTACT INFORMATION: |
|
| *
Full Name: |
(Parent/Guardian's) |
| *
Home Phone: |
|
| *
Work Phone: |
|
| Cell
Phone: |
|
| *
Email: |
(Email you check most) |
| EMERGENCY
CONTACT OTHER THAN PARENT: |
|
| *
Name: |
|
| *
Phone: |
|
| RELEASE
& SIGNATURE: |
|
| * Check box if you accept the Waiver and Photo release: | |
| * Print Parent/Guardian's Full Name: |
|
Instructions: Print this page, fill it out, make your check payable to Star Shooter Company in the amount of either $170 or $185 (Best Value!) and mail both to:
Star Shooter Company
344 Grand Ave
New Richmond, WI 54017