High School Registration Form
Discovery 2018 Weekend February 2-4, 2018


To be registered:
-- Fill in this form
-- Get payment to Jen [[ $45 early bird (by Dec. 10) $60 regular (by Jan. 15) $70 last minute (subject to Host Home availability) ]]
-- Start your countdown!!

**Get an updated Medical form to Jen after January 1 if your insurance info has changed. Med/Info forms are good for 1 year, no need to re-do for each event unless there are changes

Participant Information
High School First Name *
Your answer
High School Last Name *
Your answer
Address *
Your answer
High School Email address
Your answer
High School Cell Phone
Your answer
Gender *
T Shirt size *
Current Grade Level *
List allergies or dietary needs (gluten free, etc.)
Your answer
Will you stay at a host home Friday and Saturday nights? *
Host home room mate request
Your answer
Host home restrictions: are you uncomfortable with certain animals? Scents? Stairs?
Your answer
Do you need to be absent for any part of the weekend? *
Your answer
What meals will you be present for?
Do you have a middle school sibling that will attend the weekend?
Parent Information
Name(s) *
Your answer
Phone: Home and Cell *
Your answer
Email address
Your answer
Submit
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