Rockford Leos Club
Home
Leos Fun Night
SOS Float
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Registration Form
Please complete and submit this registration form to preregister for this event. Payment will be taken at the door.
Cash or check only
, please. (Make checks payable to Rockford Leo Club)
Child #1 Name
*
First
Last
Age
*
Child #2 Name
*
First
Last
[object Object]
Age
*
Child #3 Name
*
First
Last
[object Object]
Age
*
Child #4 Name
*
First
Last
Age
*
Parent Name
*
First
Last
Phone Number
*
Email
*
Emergency Name
*
First
Last
Emergency Number
*
Submit
Forms
registration_form.pdf
File Size:
461 kb
File Type:
pdf
Download File
information_page.docx.pdf
File Size:
256 kb
File Type:
pdf
Download File
Please walk your child in to the building to be checked in at drop off.
Home
Leos Fun Night
SOS Float
Pictures