Archery School Registration Form (2)
(Please print all information clearly)
Archer’s Name____________________________________________________
Age _____ Grade _____ School Name ______________________________
Address __________________________________________________________
City ___________________________Zip________________________________
Phone _________________________email______________________________
Parents Name _____________________________________________________
Parents Work Phone _______________________________ext.______________
The archer participating is Right / Left Handed (Circle One)
My child, _______________________, has my permission to participate in the Archery School.
Authorized parent / guardian signature _________________________________
Print name of authorized person _______________________________________
Select one of the options below:
List the Class type on the line below: B3, I1, I2, I3, I4, A1, A2, A3, A4, A5
____ West's Archery ADP Fee is $135.00 (Archery Development Program)
(ten 1 hour classes, includes t-shirt (B3-I4) or polo shirt (A1-A5) certificate, trophies are awarded at the end of I4 and A5)
Please circle shirt size: ys ,ym, yl, yxl, as, am, al, axl, axxl, axxxl
Checks are made payable to West’s Archery, Inc. and must be accompanied with the registration form. West's Archery operates off of a pre-registration process. Registrations must be received a minimum of 10 days prior to the beginning of the session to reserve an archers spot. Registrations recieved less than 10 days or on the first day of class may not have a spot on the class roster. Please call to make arrangements if the 10 day policy cannot be met.
*********************** OFFICE USE ONLY ************************
FEES PAID __________ DATE PAID __________ CA CK MO
CLASS DATES ASSIGNED: 1 _______ 2________ 3 _______ 4 _______
LEAGUE DATES FROM _______ TO _______ Other ___________________
*********************** OFFICE USE ONLY ***********************
You can contact West’s Archery, Inc. at: PO Box 248, Loma Linda, CA 92354,
909-824-1440, or email westsarchery@yahoo.com www.tagnet.org/westsarchery
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