Madison Heights Cookie Connections Registration Form

Madison Heights Cookie Connections Registration Form

Madison Heights Parks and Recreation and the Madison Heights Community Coalition are partnering to host a cookie decorating event for students in grades 6–12. The event will take place from 2–4 PM at the Red Oaks Soccer Complex, 29601 John R Rd, Madison Heights, MI 48071. Cookies will be provided, along with a hot cocoa bar and festive Christmas music for participants to enjoy.
Student Information:
Full Name*

First NameLast Name
Grade*
E-mail
example@example.com
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
I acknowledge and give permission for my child to participate in cookie decorating.
Parent Signature

Powered by Jotform SignClear
Should be Empty: