Registration for The 4th Annual 2005 Central United States Knife Throwing Championships	Return to Central US Event Page
To PRINT this form, click FILE, then PRINT.	Problems with this form? Please let me know.

Name: (PLEASE PRINT CLEARLY)

Organization:

Address:

City:________________________State:_______Zip:____________ Country:_________________

Parents Signature: _____________________ DOB: _______ E-mail:_________________________ (If Under 18)

PLEASE CHECK ALL APPROPRIATE INFORMATION BELOW:

___ I would like to instruct a seminar.    Topic: ________________________ (Time slots are limited)

___ I would like to set up an information/product display booth.

DESCRIPTION	ENTRY FEE	QTY	AMOUNT
CUSKTC Knife Event	$35.00
CUSKTC Tomahawk Event	$35.00
Both Events	$60.00
Mountain Man Event - Professional	$50.00
Mountain Man Event - Amateur	$35.00
Gold Cup - Throw 5 knives at 6 distances, double elimination - Top score takes $1000 and winner gets name engraved on "The Gold Cup"!	$100.00
*NOTE: Under 18 needs parents/guardian approval!!!