YOU MAY USE THIS FORM TO RESERVE FOR MULTIPLE PARTICIPANTS

THIS EVENT IS FIRST COME, FIRST SERVE WHEN ACCOMPANIED BY PAYMENT.

Our OUTDOOR EXTREME SPORTS EVENT for grades 5-12 will take place on Chol Hamoed, Friday, October 6th from 10:45am until 1:00pm.

PRICE: $28
RESERVATION DEADLINE: SEPTEMBER 22ND
THERE WILL BE A $5 LATE FEE AFTER THE DEADLINE (SPACE PERMITTING)

PARENT'S INFORMATION

CHILDREN'S INFORMATION

PLEASE LIST EACH PARTICIPANT INDIVIDUALLY
- CLICK THE PLUS ICON BELOW FOR EACH NAME YOU ARE ADDING. 

NOTE: It is important for us to have your child's contact information, where available, in order for us to reach them during the trip if necessary.