AMSA Beach Bash Registration Form and T-shirt order form

AMSA Beach Bash Registration Form and T-shirt order form

Please fill in your personal details to complete your registration.
Full Name

First NameLast Name
Email Address
example@example.com
AMSA #
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Group Name
Fill in the name of your group that you would like to park with at the event. Collaborate with your group and pick a common name that will allow us to know everyone needs to be put together in the same group. If you don't have a group that your camping with just leave it blank.
Additional People attending with you
Spouse/Significant Other

First NameLast Name
Child 1

First NameLast Name
Age of Child 1
Child 2

First NameLast Name
Age of Child 2
Child 3

First NameLast Name
Age of Child 3
Other Children

Additional People attending with you