Youth Registration

Please complete (and submit) the following information to register a youth for The Experience 2019. All youth must be accompanied by a registered adult.

Registering Adult First Name*

Registering Adult Last Name*

Youth First Name*

Youth Last Name*

Street Address*

City*

State*

Zip*

Birthdate*

Grade for 2019-2020*

Does registrant have food allergies? If so, list them here:*

Does registrant desire a vegetarian lunch?YesNo

T-Shirt Size*