Child Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Parent Name *

First Name

Last Name

Parent Phone *

(###)

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Photo Disclosure *

By checking this you are giving us permission to photograph or videotape your child for promotional purposes only

I give consent

Name *

First Name

Last Name

Phone *

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Select all of the areas you are interested in volunteering in. *

Group Leader

Craft Station

Game Leader

Check-ins

Pick-up

Clean-up Crew

Sub

Wherever is most needed