KFCB Registration Form

Full Name*

First NameLast Name
Contact Phone Number:*
Full number, including area code.
E-mail*
EVENTS:
All Events (choose one):*
Submit an entry for each event attending.
Shoresweep only
Choose one: Bald Ridge Marina or Port Royale Marina
Enter "1" or If more than 1 person is in your group please enter the total number of group participants (only one person is to register per group.)*
Total no.
Ages 3 to 10*
Enter # of participants here
Ages 11 to 17*
Enter # of participants here
Ages 18 and Above*
Enter # of participants here
Waivers: In order to participate in one of our events each person MUST present a signed waiver upon arrival. Participants under the age of 18 require a parents signature.

(No electronic signatures will be accepted)

Please visit our website at www.keepforsythcountybeautiful.org to print the waiver.
Should be Empty:

EVENTS: