Youth Rad Sab

Regular Registration

$25.00

Prices are in USD.

Who’s this registration for?

First name

Last name

Email address

Contact phone

Gender

Grade in Fall 2026

T-Shirt Size

Let us know if your child will have special needs at Summer Adventure.
A daily snack will be provided and a nurse will be onsite.

Does your child have any food allergies or medical needs we need to be aware of?

Parent/Guardian Names (who the child lives with)

Relationship to Child (mark all that apply)

Mother Father Step-parent Grandparent Guardian Other

Home Phone (if applicable)

Cell Phone (include Name)

Additional Cell Phone (include name)

Emergency Contact Name & Phone (if other than parent/guardian)

Names of persons who may pick up child besides parent/guardian (your child will NOT be released to anyone unless their name is on this form)