Fun Night Forms

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

Age *

Child #3 Name *

First

Last

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.