Middle School Gym Night! - Sat. November 6th 2010

Clemmons:One

DEADLINE FOR REGISTRATION IS SUNDAY, OCTOBER 31

$25, 4-6pm, raffle prizes, foam pits, dinner provided, WEAR SOCKS, trampolines, crazy fun! INVITE ALL YOUR FRIENDS!!!!!!!

Student Name*
Parent(s) Name
Address*
City*
State*
Zip Code*
Birth Date*
Email Address*
Re-enter Email Address*
Are you bringing friends? If so, who? (please have them register seperately)
Comments/Notes