ࡱ> %'$% bjbj -] 5$$$$$$$$$z $$$$$ \$$$\\\$"$$$\\$ ?)7FJAKES Event Reporting Form All chapters hosting a Porter Wagoner/JAKES Conservation Field Days Event must complete this form and return it along with memberships to NWTF headquarters within 30 days of your event. This information will help us keep a history of JAKES events and track the number of JAKES members signed up at JAKES events. Thank you. Chapter Name: ______________________________ Chapter Contact: ______________________________ Phone #: ______________________________ Date of Event: ______________________________ Event Location: ______________________________ City: ______________________________ State: ______________________________ Total number of children attending: _____ # of Males _____ # of Females Age level of children attending: _____ # of 5-8 _____ # of 9-12 _____ # 13-17 Total number of adults (include parents, volunteers, chapter leaders, etc.): _____ Total number of JAKES memberships: _____ x $5 = $__________ Total number of Adult memberships: _____ x $25 = $__________ Other memberships: _____ x $_____ = $__________ Mail to: NWTF Attention: JAKES Event Reporting P. O. Box 530 Edgefield, SC 29824 U`aGHmn,-,-56} 0JOJQJOJQJ0JCJOJQJ0J$`aGHmn,-$`aGHmn,-,-6~",-6~$+0P/ =!"#$% [$@$NormalmH <A@<Default Paragraph Font W` Strong5.>`.Title$ CJOJQJ  ;BjsPG22296CC:\My Documents\wanwtf\documentation\jakes_event_reporting_form.doc@PM@@G:Times New Roman5Symbol3& :Arial"qhgFgF!r0JAKES Event Reporting FormPG22296PG22296 Oh+'0   < H T`hpxJAKES Event Reporting FormAKEPG22296G22G22 Normal.dot PG22296122Microsoft Word 8.0n@G@67@7 ՜.+,D՜.+,T hp  PHS - Everett 1 JAKES Event Reporting Form Title 6> _PID_GUIDAN{867A3F04-A3A8-11D6-8E76-00508BF04608}  !"#&Root Entry F?)7`"I)7(1Table WordDocument-SummaryInformation(DocumentSummaryInformation8CompObjjObjectPool`"I)7`"I)7  FMicrosoft Word Document MSWordDocWord.Document.89q