July 25-29, 2022, 6-8:15pm for all children age 5grade 6
 
Registration Guidelines:
 
Minimum age: Children at least 5 years old, Maximum grade: 
Children who have just completed 6th grade
 
Please submit one form per child.
 

    Child's Name (required)

    Child Date of Birth (required)

    Grade Completed (required)

    School Attended (required)

    Any Health Concerns

    Your Name (required)

    Your Address (required)

    Your City (required)

    Your State (required)

    Your Zip Code (required)

    Your Phone Number (required)

    Your Email (required)

    Name of person or persons authorized to pickup (required)

    I, the [applicant, requestor, etc.] for this [type of form], warrant the truthfulness of the information provided in this application.


    I understand that checking this box constitutes a legal signature.

    I GIVE PERMISSION FOR MY CHILDS PICTURE TO BE USED FOR PROMOTIONAL PURPOSES.
    I understand that checking this box constitutes a legal signature.

    Signature (required)