Hook, Line & Net '97
Application Form: Conference & Camps

Please Note: Fill out a separate application for each Child.

Child's Name: ________________ E-mail Address:______________

Age:_____________ Grade:______________

Level of previous computer experience: __ None __ Some __ Regular User

Level of previous Internet experience:   __ None __ Some __ Regular User

Adult's Name:____________________ E-mail Address:___________

Home Address:____________________________________________

Work Address:____________________________________________

Phone: (Home) _________________ (Work) _________________

(Fax)________________        Parent will be attending: __ Yes __ No

Adults:
Level of previous computer experience: __ None __ Some __ Regular User

Level of previous Internet experience:   __ None __ Some __ Regular User

Fees Submitted (please remit fees by personal cheque or money order)

Number of ParticipantsCost
Children (     x $50) 
Adults (     x $100) 
Total Cost---> 


Signature _______________________________ Date ____________


Please return completed form, with appropriate fees, to

Hook, Line & Net '97
Attention: Bob Hipditch, Lewisporte/Gander School District,
3 Bell Place, Gander, NF, A1V 1W8