Trout Camp Application

Charlie Breithaupt, Council Chairman

Click to download the Georgia Trout Camp 2008 application

Georgia Trout Camp 2008

Please fill out the application below and give it to your Local TU Chapter President.
Dates: June 8-13 Age: 12 – 15 years Fee: $350.00
Includes room, board, and all activities for the five-day camp. In May, after your application and
fee have been received, you will be sent a list of what to bring, as well as the required health and release forms. Please make your check payable to the Georgia Council of Trout Unlimited.
Deadline for applying: May 1, 2008 (Please Print)
Name ______________________________________________________________________________________
Name you wish to be called by _________________________________________
Address____________________________________________________________________________________

City ____________________________________________________ State ______ Zip_______________
Email __________________________________________________ Phone_____________________
Date of Birth __________________________ Male______ Female_____
(Must be within the ages of 12 – 15 at time of camp)
T-Shirt size (adult size only; circle one) S M L XL
I have a friend attending camp and we would like to room together.
His/her name is ____________________________________________________________________

I am sponsored by:
The ______________________________________Chapter of TU
___________________________________________President/Chapter Trout Camp Representative
Signature
Mail application and check made out to the Georgia Council of TU to:
Charlie Breithaupt, GA Trout Camp Coordinator
194 Kitchins Lane
Clayton, GA 30525

For more information call: (706) 782-6954 or email: knc615@windstream.net