Click here to print the report.
If you are having trouble fitting all the content onto the printout,
please adjust the settings in your browser's print options.
Participant Registration
*Participant's First Name:  __________________________________
*Participant's Last Name:  __________________________________
*Gender:  Male  Female  (circle one)
*Grade Completed:  __________________________________
*School:  __________________________________
*Birthday:  __________________________________
*Allergies/Medical Info:  __________________________________
*Parent/Guardian Name:  __________________________________
*Cell Phone:  (______)______-________
*Email:  __________________________________
*Address:  __________________________________
*City:  __________________________________
*State:  __________________________________
*Zip:  __________________________________
*Emergency Contact:  __________________________________
*Emergency Contact CELL:  (______)______-________
Alternate Pickup Person 1:  __________________________________
Pickup 1 CELL:  (______)______-________
Alternate Pickup Person 2:  __________________________________
Pickup 2 CELL:  (______)______-________
*Does your family have a church?:  __________________________________
*What church do you attend?:  __________________________________
* Required