Registration Information

Student First Name *

Student Last Name *

Grade *

---Pre-KKindergarten1st2nd3rd4th5th

Gender *

• Male
• Female

Please type in your child's shirt size request: Youth Small, Youth Medium, Youth Large, Youth XL, Adult Small, Adult Medium, Adult Large, Adult XL. Please be sure to indicate if this is YOUTH or ADULT. *

Campus *

---Julia GoldsteinBarbara C. JordanFlynn ParkPershingJackson Park

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Parent/Guardian Mobile *

Donation Amount *

---Donate [+$10.00]Donate [+$20.00]Donate [+$25.00]Donate [+$30.00]Donate [+$40.00]Donate [+$50.00]Donate [+$60.00]Donate [+$100.00]