GOLDEN WEST WOMEN FLYFISHERS
JO CLARK YOUTH FUND
2010 FISHCAMP APPLICATION
NAME ________________________________________________
DATE OF BIRTH ____________________ MALE ( ) FEMALE ( )
ADDRESS _______________________________________________
CITY/STATE/ZIP CODE __________________________________
TELEPHONE NUMBER __________________________________
EMAIL ADDRESS _______________________________________
WHO DO YOU KNOW THAT FLY FISHES?____________________________________________
FISHCAMP DATE PREFERENCE:
June 21-15, 2010 ( ) July 5-9, 2010 ( ) July 12-16, 2010 ( )
ELIGIBILITY: This scholarship is open to all boys and girls between 10 and 15 years of age who have an interest in fly fishing. All applicants are required to complete this application form and a short essay answering the following questions:
- Why do you want to go to FISHCAMP?
- Why is fly fishing important to you?
Interested campers should mail this form and essay to:
Judith Austin Brown
Golden West Women Flyfishers
68 Mitchell Blvd., Ste. 200
San Rafael, CA 94903
All submissions must be postmarked no later than April 1, 2010.
Golden West Women Flyfishers and its Foundation, in its discretion, may publicize the identity and
photographs of the scholarship recipients in its marketing materials, membership information, brochures,
other literature, website, etc.
For more information:
Contact Fanny Krieger at 415-752-0192 or The Fly Shop (Mike Caranci)
at 800-669-3474 or at michael@theflyshop.com |