Chester Rod and Gun Club Barry Conservation Camp Parental Permission and Application Form

Chester Rod and Gun Club Barry Conservation Camp Parental Permission and Application Form

I hereby give my permission and consent to have:

__________________________          __________________
Camper’s full name (please print)            Age (must be 10 to 16 yrs)

attend the 4-H Shooting Sports session at Barry Conservation Camp on June 24 to June 29 and I understand all 4-H Barry Camp requirements for this event and that I am responsible for transportation to and from Barry Camp. I understand that Chester Rod and Gun club will pay the full tuition fee of $475 only.

________________________________________________________                 ________/2012__
(Parent or guardian’s signature)                                                                                     (date)

__________________________________________________________
(Print parent or guardian’s name)

Address _______________________________________________________________________

Telephone no._________________________

Application must be in by midnight April 13, 2012. Drawing to be held April 16, 2012 at 7:30 PM at the CRGC clubhouse.
Remember: In order to give the most youngsters a chance to experience this week, past CRGC winners are only eligible every other year.

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