2026 Wishing on a Ride Wish Family Registration Form: August 23rd @ Performance Boat Center.
Please provide the following information for registration! The rides are for children and their immediate family who are dealing with a serious illness or disability! Once we receive the form, we will reach out to you to confirm details and discuss the event. We are excited to have you this year!
Name of Parent or Guardian
*
First Name
Last Name
Name of 2nd Parent or Guardian
First Name
Last Name
T-Shirt Size Parent 1
*
Adult / Child & size
T-Shirt Size Parent 2
Adult / Child & size
Address of Rider/Participant
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email / communication regarding event
*
example@example.com
Have you attended this event before?
*
Yes!
No!
What organization are you affiliated with? (Make-A-Wish, Dream Factory, etc)
*
Name of Wish Kid or Dream Factory Participant 1
*
First Name
Last Name
AGE
*
T-Shirt Size 1
*
Adult / Child & size
Name of Sibling/ Participant 2
First Name (write None if N/A)
Last Name (write None if N/A)
AGE
T-Shirt Size 2
Adult / Child & size
Name of Sibling / Participant 3
First Name (write None if N/A)
Last Name (write None if N/A)
AGE
T-Shirt Size 3
Adult / Child & size
Name of Sibling / Participant 4
First Name (write None if N/A)
Last Name (write None if N/A)
AGE
T-Shirt Size 4
Adult / Child & size
Name of Sibling / Participant 5
First Name (write None if N/A)
Last Name (write None if N/A)
AGE
T-Shirt Size 5
Adult / Child & size
Name of Sibling / Participant 6
First Name (write None if N/A)
Last Name (write None if N/A)
AGE
T-Shirt Size 6
Adult / Child & size
ADDITIONAL INFORMATION HERE. ANY ADDITION NOTES ORGANIZERS NEED TO KNOW. Also if there are more riders than 6, include them here with age, relationship and t-shirt size.
*
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