August 4-8, 2008 --- 6:45 PM to 9:15 PM Nightly
** Please fill in one form per child, after you submit each form you will be taken to a new form.
Ages 3 - 11
Pre-Register by July 20, 2008 to ensure shirt size
Child's Information:
Child's First Name:
Child's Last Name:
Date of Birth:
mm/dd/yyyy
Child's Gender:
M
F
Child's Shirt Size:
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Parent/Guardian Information:
Parent/Guardian First Name:
Parent/Guardian Last Name:
Address:
City:
State
Zip/Postal Code
Home Phone
Alternate Phone
Email Address
Confirm Email Address
General Information:
Emergency Contact
Relationship to Child
Emergency Phone
Allergies/Medical Needs
My Child May Be Picked Up By:
First and Last Name
First and Last Name
Do you attend a church regularly?
Y
N
If yes, which church?