2013 REGISTRATION FORM

 

PLEASE NOTE: ONE REGISTRATION FORM PER HOUSEHOLD. THANK YOU

PLEASE PRINT CLEARLY

 

 

NAME: _____________________________________________________________________

 

 

CITY: _________________________________ STATE ________ ZIP: _______________

 

 

 

TOTAL ADULTS ATTENDING_____ TOTAL CHILDREN ATTENDING_____

 

TOTAL ADULT T-SHIRTS_________ TOTAL CHILDREN T-SHIRTS________

CHILD X-Small____ Adult Small____ Adult Ex-Large___ Adult 5X____

Child Med_________ Adult Med_____ Adult 2X__________

Child Large________ Adult Large____ Adult 3X__________

 

$__________ TOTAL REGISTRATION FEES ENCLOSED

$__________ TOTAL FOR T-SHIRTS ENCLOSED

 

 

 

The committee is working hard to make this FOUR DAY EVENT a blast for everyone.

Lizzette Holcomb

(850) 276-6548

Lizzette31@yahoo.com

Stacey Brantley

(850) 914-9724

ebrantley@knology.net

Sherreal Smith

(850) 785-6372

 



NOTE: Please inform the committee by March 30, 2013 through mail, email, or telephone if you are planning to attend and the number of family members that will be participating. At that time, we will need the T-shirt count and size. To make this successful, please reply in a timely manner.