Printable Sign Up Form
If you prefer to pay for the platinum club via postal mail you may print out this form and send it in with a check or credit card # to the following address:
Nick Nurse, Head Coach
1000 Shots Shooting Camp
P.O. Box 27001
West Des Moines, Iowa 50265
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Student's Name______________________
Student's Age________ Grade_________
Name _____________________________________________________
Address ____________________________________________________
City, State __________________________________________________________________
Zip ____________________________________________________
Phone _____________________________
Email ________________________________________
Check enclosed____ OR Credit Card___
Credit Card # ____________________________ Exp. _________
Signature _____________________________________
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