USY Midnight Run Registration 2-4-23

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Please complete the information below to register your child(ren) to participate in Midnight Run on February 4, 2023.

Please note that in order to participate in Midnight Run, your child(ren) must also attend the prep day on February 1 from 4:30 - 6:00PM.

Section A: Parent Contact Information

* First Name (Primary)

* Last Name (Primary)

* Email (Primary)

* Cell Phone(Primary)

Section B: Child Enrollment Information

* How many children would you like to sign up for Midnight Run on 2-4-23? ($36 per child)

Child 1 Information

* Child 1 First Name

* Child 1 Last Name

* Child 1 Grade

* Is this child able to attend the prep day on February 1 from 4:30-6:00PM?

Please Select OnePlease select oneYesNo

Child 1 Email Address

* Child 1 Cell Phone

Child 2 Information

* Child 2 First Name

* Child 2 Last Name

* Child 2 Grade

* Is this child able to attend the prep day on February 1 from 4:30-6:00PM?

Please Select OnePlease select oneYesNo

Child 2 Email Address

* Child 2 Cell Phone

Child 3 Information

* Child 3 First Name

* Child 3 Last Name

* Child 3 Grade

* Is this child able to attend the prep day on February 1 from 4:30-6:00PM?

Please Select OnePlease select oneYesNo

Child 3 Email Address

* Child 3 Cell Phone

I would like to make an additional donation (optional):

Please enter the amount of your additional donation above.

After you press "submit", you will receive an email confirmation of this registration.

Total Amount

Wed, February 8 2023 17 Shevat 5783

30 Hillspoint Road, Westport, CT 06880

203.454.4673
tcs@tcs-westport.org