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JAKES Event Reporting Form
All chapters hosting a Porter WagonerIJAKES 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:
Total number of children
attending:
State:
#
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:
Total
number of Adult memberships:
Other memberships:
Mail to:
NWTF
Attention: Christine K. Rolka
P.O.Box 530
Edgefield, SC 29824
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