Wyoming Job's Daughters Summer Camp 2010
Story, Wyoming
Registration Due, June 30, 2010
Bethel #-____________________________
Bethel Guardian______________________		Send One Check Payable to Summer Camp 2010
Phone #_____________________________
E-Mail Address______________________		Send completed form, check, and permission forms by June 30, 2010 to:
		Konne Rife
		5174 Road 72
		Torrington, Wyoming 82240
						medical		Fee $45
	Adult/		Phone		Food	forms	T-shirt	Weekend
Camper's Name	Daughter	Address	Number	Age	Allergy	2 copies	Size	Fee 20/day
Ex:  Konne Rife	Adult	5174 Road 72, Torrington, WY	534-4665	49	None	X	Large	$45.00