May 16-18, 2008

DIRECTIONS:

Print and fill out this form and mail it with a check (payable to “C.B.A. & You, Inc.”) for the amount of your party to:

C.B.A. & You, Inc. 811 N Fuller Street Independence, MO 64050

($30 single adult pre-register - $35 if registering at event)

($35 Couples pre-register - $40 if registering at event)

($45 Family pre-register - $50 if registering at event)(2 adults/3 kids - $5 ea. extra child)

Please provide the following information. Indicate the number of participants (estimate please – we will not hold you to this count, but it will help us plan).

Adult #1 _____________________________________________________

Adult #2 _____________________________________________________

Child #1 _____________________________________________________

Child #2 _____________________________________________________

Child #3 _____________________________________________________

Child #4 _____________________________________________________

Child #5 _____________________________________________________

Address _____________________________________________________

City ______________________ State ______ Zip ________

Phone # _____________________________________________________

E-Mail _____________________________________________________

Anticipated Number of Participants:

Number of Youth, Male: _______ Number of Adult, Male _______

Number of Youth, Female: _______ Number of Adult, Female _______

Special Needs:

Male: Y ___ A ____ Details: ___________________________

Female: Y ___ A ____ Details: ___________________________

When do you anticipate arrival: Friday _____ Saturday _____ Sunday _____

Please note if you do NOT wish to stay for the whole event you may come for pieces of the event:

Cost for Guests coming to shoot coon shoot only Friday evening - $10

Cost for Guests coming for dinner only on Saturday evening - $10

Cost for Guests coming for 3D shoot only on Sunday –

$15 Adults / $10 Youth age 9-15 / $5 age 8 & under