Registration form

Please register by July 5, 2021. Full payment must be received to be registered. Make checks payable to Teresa Waldorf or Reserve your space by Venmoing payment to Teresa-Waldorf-1

Participant's Name

Sex

Grade Fall of 2021

Parent Name(s)

Address

City

State

Zip

Home Phone

Work Phone

Cell Phone

Email ALL CONFIRMATIONS AND UPDATES WILL BE SEND VIA EMAIL.

Emergency Contact

Emergency Phone

Shirt Size

First Activity Choice

Second Activity Choice