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)
*Parent/Guardian Name:  __________________________________
*Address:  __________________________________
*City:  __________________________________
*State:  __________________________________
*Zip:  __________________________________
Primary Phone:  (______)______-________
Work Phone:  (______)______-________
Cell Phone:  (______)______-________
Email:  __________________________________
*Birthday:  __________________________________
*Last Grade Completed:  __________________________________
Allergies, Medical, & Special Needs:
*Emergency Contact Name (1):  __________________________________
*Emergency Contact Phone (1):  (______)______-________
Emergency Contact Name (2):  __________________________________
Emergency Contact Phone (2):  (______)______-________
Are you a member of this church?:    Yes   No  (circle one)
Guest of:  __________________________________
Do you attend Church?:    Yes   No  (circle one)
If so, where?:  __________________________________
May we have permission to photograph your child?:    Yes   No  (circle one)
May we have permission to use your child's photograph in church publications?:    Yes   No  (circle one)
T-Shirt Size:  __________________________________
* Required