Please complete the following form and click "Submit" to have it emailed to us!
Please enter your Child's name:
Address:
City:
Parent or responsible party:
Home Phone:
Emergency Phone:
Age as of June 1, 2010:
The Fee is $5.00. I will be paying using:
PayPal I will mail or drop off a check.
Shirt Size (Choose one):
Adult (S) (M) (L) (XL) Youth (S) (M) (L) (XL)
Please enter any notes you may need to give us:
