Participant Online Registration

E-mail Address: *

School/Group Name: *

Number of Participants:(Do not include teachers/chaperones in this count) *

# in count above that are Non-ambulatory: *

Number of Teachers/Chaperones *

Teacher’s Name #1: *

Email Address and Cell Phone: *

Teacher’s Name #2:

Email Address and Cell Phone:

Please indicate your preferred dates in order of 1st, 2nd & 3rd.

Monday, April 24 *

Tuesday, April 25 FULL *

Wednesday, April 26 *

Thursday, April 27 FULL *

* Required