GYMNASTICS BROCHURE REQUEST

Last Name	*	*Required Field
First Name
Date of Birth	/ / (MM/DD/YYYY) *
Gender	Male Female *
Address Line 1	*
Address Line 2
City	*
State/Province:	Within US and Canada:
	Outside US and Canada:
Zip/Postal Code	*
Country	*
Home Phone	( )
E-mail	*
	Would you like to receive informational updates of news and upcoming events at Lake Owen Camp?

Number of Brochures Requested: *

1

2

3

4

(If you need more, please call
the camp office @ 715-798-3785.)

Area of Interest: *

Gymnastics
Volunteer Coaching Opportunities (Coaches Only) Cheer

How did you hear about us?	Media / Associates - (Mark no more than three choices.)
	Lake Owen Site	Gymnastics Meet
	Friend	Lake Owen Staff
	Former Camper	Summer Camp Referral Service
	Coach/Club	Other
	Magazines - (Select all that apply.)
	USA Gymnastics Magazine	International Gymnast Magazine

Thank you for your interest!