2019 Kid's Obstacle Challenge
ONE PARTICIPANT PER REGISTRATION

Registration Required
Registration closes 7/27/19

FREE
8/3/19, Saturday, 10:00AM-1:00PM
Rain or Shine!
Ages 3-6, 10-11AM
Ages 7-10, 12-1PM
Otis Town Hall Park, One North Main Road, Otis

Have loads of fun! Prizes! Two different courses!
Dress appropriately and be prepared to get wet!

(Parent/Guardian must be present for event)


Otis Recreation Commission
70 North Main Road | PO Box 237
Otis, MA 01253
413/269-4541 | otisrec@verizon.net
www.noticeotis.com

Participant's First Name *
Your answer
Participant's Last Name *
Your answer
Participant's Age as of 8/3/19 *
Participant's Date of Birth *
MM
/
DD
/
YYYY
Participant's Residential Address - Street, City, State & Zip *
Street Address, City, State, Zip
Your answer
Participant's Mailing Address - PO Box/Street, City, State & Zip *
PO Box/Street Address, City, State, Zip
Your answer
Parent/Guardian Name AND Phone-HOME *
(123)456-7890
Your answer
Parent/Guardian Name AND Phone-CELL *
(123)456-7890
Your answer
Emergency Contact Person AND Phone Number *
Your answer
Please list any health conditions, allergies or information the Rec Center should be aware of: (if none, write "none"). Balloons (latex) are part of this event. *
Your answer
Email (PLEASE double check your email address, you will receive a copy of your registration upon completion to this email address, if not received please call the Rec Center) *
Your answer
Please include the email address I have provided for future emails: *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service