Registration and Emergency Form
Kid’s History Fun Days:
Name of Participant and Age:
Your answer
Parents/Guardian Name:
Your answer
Address:
Your answer
Email Address:
Your answer
T-shirt size
Emergency Contact Name and Number:
Your answer
Relationship to Participant:
Your answer
Emergency Contact Name and Number:
Your answer
Relationship to Participant:
Your answer
Physical Limitations/ Restrictions:
Your answer
Allergies or Health Concerns:
Your answer
Who May Pick Child Up:
Your answer
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