Clone of Shady's Long Shots, Horseshoe Chain July 29th, 2026

Stearns County Water Safety Class

August 11th, 2026, Rock Tavern, Big Birch Lake
Please complete a separate form for every student attending
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Parent / Guardian

First NameLast Name
Parent / Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent / Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Stearns County Water Safety Class