Child's Name:

Age and School year just completed:

Parent's Name:

Address:

Telephone:

E-mail:

Scholarship needed?

Youth [16-18] or Adult [18+] Volunteers' names:
Please indicate day and time available

IMPORTANT! Be sure to follow the pop-up instructions as you submit the form. Otherwise, your registration will not be delivered

To pay online:
Be certain that you have also submitted the registration form.