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, March 25 *

Tuesday, March 26 *

Wednesday, March 27 (Full) *

Thursday, March 28 (Full) *

* Required