E-mail
*
example@example.com
Student's Name
*
First Name
Last Name
My Child will be attending the following:
Sunday, March 17th from 2pm-4pm at Scene 75 in Brunswick, Ohio
Emergency Phone Number
*
Please enter a valid phone number.
Emergency Contact Name
*
Must be 18 years old
My current grade:
*
6th Grade
7th grade
8th grade
If Other, Please specify what you are bringing:
Name of student's School:
*
Submit
Should be Empty: