Event Registration

Parent/Guardian First Name: Parent/Guardian Last Name: Parent/Guardian Email: Parent/Guardian Phone: Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip: - Zip Suffix Number of Attendees: I am the adult, and/or the parent of legal guardian of the minor children, named in the registration. By checking this box, I am electronically "signing" this Agreement. I HAVE READ AND CONSENT TO THE CORE VALUES/BELIEFS, GENERAL LIABILITY WAIVER, AND THE PHOTO/VIDEO RELEASE. I acknowledge and represent that I am fully competent to legally agree to the terms of this agreement. . If you have a coupon, please enter code here (case-sensitive): Relation of Registrant to Attendees:   Same Household Same Company