Family Engineering

Youth and Family Fun Activities Registration

Family Engineering
Questions? Contact Danielle at 507-473-4833 or danielle@lifemowercounty.org

Activities for youth ages birth-22 and their families

Parents are welcome to attend the activity with their child.

Pre-registration is REQUIRED!
How many children will you be registering?*
Name of Youth Participant #1*

First NameLast Name
Youth Participant Birthday #1*

MonthDayYear
Date
Name of Youth Participant #2*

First NameLast Name
Youth Participant Birthday #2*

MonthDayYear
Date
Name of Youth Participant #3*

First NameLast Name
Youth Participant Birthday #3*

MonthDayYear
Date
Youth Participant Address*

Street Address

Street Address Line 2

CityState

Zip Code
Name of Parent*

First NameLast Name
Parents Main Phone Number*
Please enter a valid phone number.
Parents Email*
example@example.com

Family Engineering Night

Youth Participant

$10.00 Quantity

Parent/Caregiver

$5.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Should be Empty: