Fill out this short form and when you enroll your child you will get $50 off the regular $100 registration fee.

Parent/Sponsor Name *
Parent/Sponsor Name
Best Daytime Phone
Best Daytime Phone
Secondary Parent/Sponsor
Secondary Parent/Sponsor
Child's Name *
Child's Name
Sex of Child *
Child's Birth Date (Or Due Date)
Child's Birth Date (Or Due Date)
Days Wanted *
Probable Start Date
Probable Start Date