2019 Color Me Mifflin Online Registration
Please complete this form prior to sending in your payment to the middle school or paying online, by April 15th (to ensure that you get a t-shirt). Many thanks for your participation & support and we look forward to seeing you May 4th!
Email address *
Name of participant #1 *
Your answer
Select Adult or Student *
T-shirt size for participant #1 *
Phone number *
Your answer
Form of Payment used for registration *
Email address (important to use the same one used to link online payment) *
Your answer
Personal check number
Your answer
Name of participant #2
Your answer
Select Adult or Student
T-shirt size for participant #2
Name of participant #3
Your answer
Select Adult or Student
T-shirt size for participant #3
Name of participant #4
Your answer
Select Adult or Student
T-shirt size for participant #4
By typing my name (below), I hereby agree to the following terms of Acknowledgement of Inherent Risk, Waiver and Release *
Captionless Image
Your answer
If participant is under 18, parent acknowledgment is also required, please type name below
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Governor Mifflin School District. Report Abuse - Terms of Service