REGISTRATION

Name

First Name

Last Name

Address

City

State

Zip Code

Date of Birth (m/d/yr)

School attending

Grade

Mother's Name

Mother's E-mail Address

Mother's Mobil Phone

Girl's cell phone

Girl's e-mail

How did you hear about this event?

Are you interested in being part of one of the teams competing at the conference? If so, which one?

Any Questions?

PAYMENT

Do you have any allergies or diet restrictions?