Family Registration - - - Virginia Beach, VA - Sat, Sept 14, 2024

Space is limited !
First time participants will be given priority.
When the event is full, additional Registrations will be placed on a waiting list and notified.

Parents Information

How did you hear about Wish-A-Fish? *

Have you attended a WAF event before? *

If Yes, what years?

Parent Name *

Parent Name

Mailing Address *

City *

State *

Zip Code *

Home Phone *

Cell Phone *

Email Address *

Children's Doctor *

Doctor's Phone *

Children Information

Child 1 Full Name

Age

T-Shirt Size

Wheelchair Access

Special Requirements

Child 2 Full Name

Age

T-Shirt Size

Wheelchair Access

Special Requirements

Child 3 Full Name

Age

T-Shirt Size

Wheelchair Access

Special Requirements

Child 4 Full Name

Age

T-Shirt Size

Wheelchair Access

Special Requirements

Child 5 Full Name

Age

T-Shirt Size

Wheelchair Access

Special Requirements

Comments

Additional Comments