LOL Race Weekend Form

LOL Race Weekend Form

LOL Race Day 8/3/24 - 2pm * LOL Pool Party 8/4/24 - 10am
Family Name (full name of child affected)*

First NameLast Name
DOB of Child Affected

MonthDayYear
Date
Sex (M/F)
T-shirt Size of Child Affected*
Sibling (1)

First NameLast Name
DOB of Sibling 1

MonthDayYear
Date
Sex (M/F)
T-shirt Size of Sibling 1
Sibling (2)

First NameLast Name
DOB of Sibling 2

MonthDayYear
Date
Sex (M/F)
T-shirt Size of Sibling 2
Sibling (3)

First NameLast Name
DOB of Sibling 3

MonthDayYear
Date
Sex (M/F)
T-shirt Size of Sibling 3
Sibling (4)

First NameLast Name
DOB of Sibling 4

MonthDayYear
Date
Sex (M/F)
T-shirt Size of Sibling 4
Parent/Guardian*

First NameLast Name
Cell Number*
Contact number during the event.
Email*
example@example.com
T-shirt Parent/Guardian 1*
Parent/Guardian

First NameLast Name
T-shirt Parent/Guardian 2
Hotel rooms are for immediate family living with the affected child only as space is limited!

First come, first serve.

Highland rooms will fill up first and then overflow will be sent to Troy, IL
Will you be needing a room for the evening?*
Room reservations need to be made by July 5, 2024 to ensure availability.

Pool party with sack lunches at the Highland City Pool at 10am - 12pm
Will you be joining us for the Pool Party?*
Should be Empty: