True North - Trusting Jesus in a Wild World

Registration Form (One per Child):

Ages: Pre-K (age 5) to 5th grade

Child First Name

Child Last Name

Child Birthdate

Last Grade Completed

T-Shirt Size

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Parent/Guardian Phone Number

Parent/Guardian Email

Home Church

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Allergies

Notes for Us:

Parent/Guardian must check-in child(ren) every day of event

Signature