October 5th Registration Form

Complete the form below to register your child for our event on October 5th, 2013.

LLS is focused on the needs and interests of girls ages 8 to 10, but age and gender are never restrictions to participate.

Online Registration Form:

* Indicates required field

Participant's Name *

First

Last

Birthdate *

Grade *

Guardian's Name *

First

Last

Email Address *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Choose One *

Cell Home Other

Text Message Friendly? *

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How did you hear about LLS? *