(One form required for each child)

Name of Child:                                                                           

T-Shirt size:  Youth: XS, S, M, L, XL   Adult: S, M, L, XL

Age of Child:                           Birth date:          /        /                

School child attends (if applicable):                                                                

Where Can parents be reached during the day? (Fill out all that applies)

Any health conditions or medications that we should know about?  Please list in full detail:

Food Allergies:

Other Allergies:

My child usually likes the following:

Grapes                        Oranges                Apples                Bananas

Watermelon                Popcorn                Goldfish                Apple Juice

Fruit Juice                Animal Cookies                Ritz Crackers

Cheddar Cheese        Jack Cheese                Cheese Sticks (string cheese)

Crème Cheese                Graham Crackers        Whole Wheat Crackers