Submit your registration by completing the information below.

First Name       MI    Last Name

    



Street Address







City                         State  Zip Code

    



Phone Number





Age





IMPORTANT: If you are under the age of 18, you MUST have a parent

present to provide a signature permitting you to participate in MCSD

activities.



T-Shirt Size





T-Shirts will be provided only if funds allow.



Top 5 Site Choices

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E-Mail Address: (optional)

REMEMBER: When you arrive at Muskingum Park on April 7th, your form will be at the Registration Table. All you need to do is give the Registration Staff your name and sign your form.

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