Summer Stretch Registration

Type/Date of event: Summer Stretch 2018

July 30th
July 31st
August 1st - Valleyfair day
August 2nd

August 3rd- half day

Individual(s) in charge: Alannah Moran

Transportation: Bus

Cost of event:

$150.00 (Jr. High Participant)
$70 (Sr. High Leader)

Note: This is a fixed cost for the program regardless of the number of events participants attend.

Household

Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Parent Chaperone

A parent/adult (21+) is required to volunteer 2 shifts for valid Jr High registration

Morning Shifts: 7:45AM - Noon
Afternoon Shifts: 12:30PM - 4:30PM
Shift Preference REQUIRED Please fill out this field.
Availability July 30th - Morning July 30th - Afternoon July 30th - All Day (counts as two shifts) July 31st - Morning July 31st - Afternoon July 31st - All Day (counts as two shifts) August 1st - All Day (counts as two shifts) August 2nd - Morning August 2nd - Afternoon August 2nd - All Day (counts as two shifts) August 3rd- Morning