TBT's 7th - 12th Graders
Visit us on the web at:
@ Adventure Park Long Island
75 Colonial Spring Road
Wheatley Heights, NY 11798
Date & Time:
Thrusday,September 28, 2017 from 5:30-8:30 pm
Participant's First Name
Participant's Last Name
Participant's Grade for the 2017 - 2018 School Year
Participants Date of Birth
Participants Cell Number
Participant Allergy Information
Write none in the box if the participant has no known allergies
Emergency Contact Info
Please write a name, relation, and phone number for an emergency contact for the day of the trip
Parent Cell Number
My son / daughter will be joining TBT at Adventure Park Long Island Thrusday, September 28, 2017 from 5:30-8:30 pm. I confirm that I am responsible to provide transportation to and from the event and all the fees associated with the event.
See Pricing Above: Includes entrance fees and pizza dinner
I am a parent who will be attending West Hollow MS Back to school night on Thursday, September 28th and need to pick up after 9 pm.
Please Click this link to sign online waver form
I completed the online waver form
Need More Information?
Dr. Jodi Mishkin-Michaelson
Director of Youth Engagement
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