Parent/Guardian Name*
Child or Student Name*
, AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Phone*( ) -
Age*
K-2nd Grade (Sparks)
3rd-5th Grade (GIRLS T&T)
3rd-5th Grade (BOYS T&T)
6th-8th Grade (Trek)
Yes
No