IOWA CUBS DAY TRIP FORMS CAN BE MAILED TO

IOWA CUBS DAY TRIP Boy or Girl (Circle) Child’s Name: ___________________________________________ Address: ____________________________________________________ City, State, Zip Code: __________________________________________ Home Phone: ( ) _________ Parent’s Work Phone: ( ) __________ Best Number to contact parent during the day: ( )________________ Parent’s E-mail Address: ______________________________________ Parent/Guardian Signature: ___________________________________ Cost is $12 per child FORMS CAN BE MAILED TO: ADEL Parks and Rec. 301 S. 10th Street P.O. BOX 248 ADEL, Ia 50003