Please print this web page, complete the entries, and mail the completed form along with your payment to the address above.

FATHER-SON CANOE TRIP June 22-23, 2007

Name______________________________________________ Phone _________________________

Mailing Address ____________________________________________________________________

__________________________________________________ Zip ____________________________

Ages of son (s) _____________________________                     ❏ Canoe needed

Please enclose $36 to be applied to total cost of $74.00                ❏ We'll bring our canoe