Student Name:

Parent Name:

Address:

City: State: Zip Code:

Phone Number:

Email Address:

Emergency Contact

Emergency Phone Number :

Grade School:

Current Grade:

SATURDAY, MARCH 22, 2008

Fee: $25 per child [sibling discount - 2 children for $40, 3 or more for $50]

Call 708.344.0404 for more information.

You can register here and bring your fee on the first day
or you can register and pay online.