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CAMPER APPLICATION FORM |
| FIRST NAME: | LAST NAME: | MIDDLE INITIAL: |
| STREET ADDRESS: | PHONE NUMBER: |
| CITY: | STATE: | ZIP CODE: |
| DATE OF BIRTH: | AGE: | SEX: □ MALE □ FEMALE |
|
T-SHIRT SIZE: |
□ SMALL |
□ MEDIUM |
□ LARGE |
□ X LARGE |
□ 2X LARGE |
□ 3X LARGE |
YOUTH SIZES: | □ MEDIUM |
□ LARGE |
| PARENT NAME (S): |
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STREET
ADDRESS: (IF DIFFERENT FROM ABOVE) |
PHONE NUMBER: |
| CITY: | STATE: | ZIP CODE: |
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PARENT PARTICIPATION LEVEL: |
□ NON-PARTICIPANT |
□ SUPPORTIVE SPECTATOR (DIFFERENT FORM) |
□ ADULT CAMPER (MUST COMPLETE SAME FORM) |
|
ANIMAL INFORMATION |
| EACH CAMPER IS REQUIRED TO HAVE AN ANIMAL TO WORK WITH THROUGHOUT THE CAMP IT IS RECOMMENDED THAT THE CAMPER BRING HIS/HER OWN ANIMAL. IN SOME INSTANCES THIS MAY NOT BE POSSIBLE. PLEASE INFORM US OF YOUR SITUATION. 2 -PARTICIPANTS CANNOT USE THE SAME ANIMAL. |
| SPECIE CAMP REQUESTED: | □ GOAT | □ SHEEP | □ PIG | □ STEER | ARE YOU BRINGING YOUR OWN ANIMAL? | □ YES | □ NO |
|
WILL YOU NEED AN ANIMAL PROVIDED? |
□ YES | □ NO |
EXPLAIN: |
| ANIMAL INFORMATION: | □ SHEEP PARTICIPANTS-ANIMAL PROVIDED | □ STEER, PIG, GOAT (BRING YOUR OWN ANIMAL) |
|
TRAVEL INFORMATION |
| EACH CAMPER IS RESPONSIBLE FOR OWN TRAVEL ARRANGEMENTS TO CAMP/ HOWEVER, IF ARRIVING VIA AIRPLANE OR BUS, ARRANGEMENTS CAN BE MADE IN ADVANCE FOR PICKUPS TO BE MADE AT THE AIRPORT OR BUS STATION. PLEASE INFORM US OF YOUR SITUATION. |
| HOW WILL YOU BE ARRIVING? | □ CAR/DRIVING SELF | □ AIRPLANE | □ BUS | □ OTHER |
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WILL ASSISTANCE BE NEEDED? |
□ YES | □ NO |
EXPLAIN: |
| LODGING FOR NON-CAMPERS: | □ HOTEL (ON YOUR OWN) | □ CAMPGROUND FACILITY (PAY AT GATE UPON ARRIVAL |
|
PAYMENT INFORMATION |
| PAYMENT IN FULL IS REQUIRED WITH THIS APPLICATION FORM. SPACE IS LIMITED. BE SURE TO APPLY EARLY TO SECURE YOUR RESERVATION. MAKE CHECKS PAYABLE TO: CHAMPION'S CHOICE CAMPS. |
| CAMP FEE: | □ SHEEP $200 | □ PIG $200 | □ STEER $250 | □ GOAT $150 |
| CHECK IS ENCLOSED: | □ YES | □ NO |
CHECK # |
CHECK AMOUNT $ |
| SEND PAYMENT AND APPLICATION TO: |
CHAMPION'S CHOICE CAMP, ATTN: TRACY DENDINGER |
| SIGNATURE: | DATE: |
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Click On The Images Below To View More Information On Individual Camps... |
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Camp Coordinator - Tracy Dendinger
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