Camp Atterbury Schedule Packing List Please enable JavaScript in your browser to complete this form.Athlete's Name *FirstLastAthlete's Email *Athlete's Date of BirthAthlete's Tshirt SizeSmallMediumLargeXLParent's Name *FirstLastParent's Email *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSignature *Clear SignatureI hearby attest that I am the parent/legal guardian of the athlete noted above. I give my child permission to attend the NRA National Matches and Smallbore Clinic at Camp Atterbury. I will not hold The X Count or its representative liable for any injuries that might occur. I have medical/hospital insurance to cover such injuries.Total$ 0.00Authorize.Net *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeSubmit