DATES: July 28, 29, and 30

TIME: 9:00am - 12:00pm
AGES: 3 yrs. old (before march 1, 2008) - 5th grade (just completed)

Simply fill out the form below and click "submit" to register your child for "CSI: Clue Seeking Investigation" at the Creek. Please register 1 child per form.
1. Children's Info      
Child's Name: Male Female
*Date of Birth: Grade just completed:
  *3 yrs old must be 3 by March 1st.
Please list any special needs or medical conditions the child may have:
2. Parent Info
Parent Name:
Address: City:
Home Phone: (000-000-0000)
Work Phone: (000-000-0000)
E-mail:
3. Emergency Contact #1
Name: Phone: (000-000-0000)
Emergency Contact #2
Name: Phone: (000-000-0000)