Xtreme Xpedition Registration
* Child #1 Name
* Child's Age
* Grade going into
* Allergies
* Order T-shirt
NO
YES
Size
select one
S (6-8)
M (10-12)
L (14-16)
XL (18-20)
Color
select one
Pink
Blue
Tan
Child #2 Name
Child's Age
Grade going into
Allergies
Order T-shirt
NO
YES
Size
select one
S (6-8)
M (10-12)
L (14-16)
XL (18-20)
Color
select one
Pink
Blue
Tan
Child #3 Name
Child's Age
Grade going into
Allergies
Order T-shirt
NO
YES
Size
select one
S (6-8)
M (10-12)
L (14-16)
XL (18-20)
Color
select one
Pink
Blue
Tan
If you have more than 3 children to register, add their info here
* Parent's Names
* Address
* City
* ZipCode
* E-Mail Address
* Phone
Cell phone
* Do you attend New Life?
NO
YES
Special Concerns or Comments?
