Mini BAYGL Form - Grades 3-5

Participant's Name * First Last

Parent's Name(s) * First Last

Parent's Email *

Grade

3 4 5

Does your child have any medical conditions or allergies? Does your child take medication or have an epi-pen?

Is there anything we should know to make this event a positive experience for your child?

Are you interested and able to chaperone for this event?

Yes No

Wufoo