Application Form
Personal Information
Camper's name _________________________
Street __________________________  City _________________
State________  Grade _______
Parent's name _____________________________________
Age as of July 1,2004 ____  Home Phone(        )___________________
Emergency phone number(         )_________________
Email _______________________________________
Roomate Request ____________________________
Customer id# ________________________  School _____________________
T-shirt size  ____ S   ____ M  ____ L  ____ XL
Day Camp ____
Night Camp ____
Release Form

Enclosed is my camp deposit of $25.00 which I understand is non-refundable.(Please make checks payable to Jennifer's Shooting Camp.)

Parent/Guardian:
I_______________________ give permission for my child,__________________, to attend Jennifer's Shooting Camp for Girls Corporation and the camp staff members are not responsible or liable for any injuries sustained while participating in camp.
Parent/Guardian Signature: ___________________________
Relationship: ________________________  Date: __________________