Hullabaloo Online Registration

First Name

Last Name

Are you currently in an Infuse Group? Yes No

If YES, please skip down to A Few QUESTIONS.
If NO, please fill out the following:

Address

Address 2

City

   Zip

Phone

  Cell

School

Graduation 2012 2013

Student's Email

Gender

Male    Female

Birthday

January Feburary March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

Parents Name

Parent Email 1

Parent Email 2

A Few QUESTIONS:

1. What is your t-shirt size?
    Girls (fitted T's) SMLXL
    Guys (adult sizes) SMLXLXXL
    *Girl shirts run small. Girls can also get a Guy Size.*

2. Students, Name 2 friends you want on your
    Hullabaloo Team:
  

3. Parent/Guardian, We are looking for a number of
volunteers to make this awesome weekend happen.
If you are interested in serving in this capacity please
let us know what you could help with and what times
between Friday, March 14 at 4:00 p.m. and Saturday
March 15 at 7:00 p.m. that you are available.
  

   

Once this form is submitted, your spot will be held.
Payment is due no later than Sunday, March 9.
Hillside Liability and Big Bear Snow Play forms can
be downloaded from the website and must be turned in
with payment.

Any student signed up, but not paid in full by
March 9 will lose their spot. Spots are limited.