Youth Fun Day Registration Form

JSF Youth Fun Day Registration Form

Fill out the form carefully for registration. Date: June 6th @ 3:00 PM Location: Smith-Hazel Recreation Center (400 Kershaw St NE, Aiken, SC, 29801)
Birth Date (Must be ages 6-16)

MonthDayYear
Child’s Name

First NameMiddle NameLast Name
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name

First NameLast Name
Parent/Guardian E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Additional Comments

JSF Youth Fun Day Registration Form