Trailblazer Adventure Program May 16, 2015 Individual Registration Form
A special project of the U.S. Sportsmen's Alliance Foundation brought to you by Cabela’s Outdoor Fund
Name: ____________________________________ Address: __________________________________ City/State/Zip: ____________________________ Phone/E-mail: ____________________________ Questions? Contact us at
[email protected] or visit our website at tl-in0001.trooptrack.com Youth Attending Program: ____________ @ $15* Total: $__________ Number of Lunches: __________________ @ $5
Total: $__________
Total Fees: $__________ *Program
fee after May 4, 2015 will be $20 per youth.
Send completed form and payments to: Trail Life Troop IN-0001 P.O. Box 5911 Lafayette, IN 47903