Registration

It's beginning to look a lot like Grinchmas!! Come join us on the 21st for a grinchy good time. We can't wait to see you there!

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)

Students entered below will be added to your family's account

Questions/Options:


Does your child have any allergies that we need to be aware of?*
If child has allergies, please list.

Additional Information:

Assumption of Risk

(Show-Hide Details)