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:
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?