CHILDREN'S EVENT REGISTRATION
Have you completed a Permission Form for the
2009-2010 school year?
Download here
Members and regular attenders may complete required fields. Visitors, please complete all information.
NOTE: For Family Events: please put all first names on the form, then be sure to indicate how many will attend. (This helps with the count.)
First Name* Last Name*
Email* Phone
Address *Grade 2009-2010 (or Adult)
City, ST Zip
I am a visitor of My Birthday is
My insurance information has changed. I will send in a new permission form.
Adults: For driving events: I will drive and can safely seatbelt in this many: 0123456
*PLEASE INDICATE... How many attending this event:
SIGN ME UP FOR: Studio 56 Winter Retreat - Feb. 12-14Pinewood Derby Supper $3.00 per personMoms Retreat; April 16-18; $150 per person with 4 per room
*Required Field