APPLICATION FORM
Please fill in the form and use the PRINT button below to print the application.
Mail the application with pre-registration fee payable to:
Don Gosz - 1308 Maria Lane - Menasha, WI 54952
Phone: (920) 729-1717 - Cell: (920) 475-4177 - Email:
goszbbc@aol.com
Personal Information
Last:
First:
M.I.
HT.
Address
Street
City
State
Zip
Phone
Email
Miscellaneous
School attending
Grade
4
5
6
7
8
9
10
11
(Fall of 2009)
Male
Female
Age at camp
Adult shirt size
Small
Medium
Large
Extra Large
Roommate preference
(To avoid confusion, it is recommended roommates
send in their applications together, if possible.)
Camp to attend
Pick one...
---Offensive Skills Camps---
June 14-17, Appleton (Girls)
June 21-24, Appleton (Boys)
June 26-28, Whitewater (Co-Ed)
---Shooting Camps---
June 12-13, Waukesha (Co-Ed)
June 19-21, Appleton (Co-Ed)
Have you attended a
Don Gosz camp before?
Yes
Number of years attended.
No
Fees
Offensive Skills' Camp @ Appleton
A deposit of $100.00 enclosed (Balance due before June 1st)
Overnight fee of $320.00 enclosed
Day Camper with meals' fee of $235.00 enclosed (Includes 8 meals)
Day Camper with no meals' fee of $160.00 enclosed
Shooting Camp @ Menasha
A deposit of $100.00 enclosed (Balance due before June 1st)
Overnight fee of $195.00 enclosed
Day Camper with meals' fee of $140.00 enclosed (Includes 4 meals)
Day Camper with no meals' fee of $110.00 enclosed
Shooting Camp @ Waukesha
Full fee of $135.00 enclosed. (Includes three meals)
Fee of $110.00 enclosed (no meals)
Shooting & Offensive Skills' Camp @ Whitewater
A deposit of $100.00 enclosed (Balance due before June 1st)
Overnight fee of $240.00 enclosed
Day Camper with meals' fee of $175.00 enclosed
Day Camper with no meals' fee of $135.00 enclosed