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Name of Event: |
___________________________________________________ |
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Event Date: |
___________________________________________________ |
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Participant Name(s): |
_________________________ _________________________
_________________________ _________________________
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Some Events Offer WheelChair Seating.
If available, do you wish wheelchair seating? ____ |
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Chaperone Name Request: |
_____________________________________________ |
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Attending an overnight
event?
List anyone you
wish to share a room
with. We will do our best
to honor your requests. |
___________________________________________________
___________________________________________________
___________________________________________________ |
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I am enclosing a check in
the amount of: |
$ ___________ |
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I am sending payment via Paypal in the amount of: |
$ ___________
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Paypal: To pay by credit card or have the amount debited from your checking account, go to www.paypal.com,
log-in, then select the "send money" tab. Enter the email address: register@friendshipadventures.org, enter the amount due and check "service/other". Hit "send money". In the message box located on the next page, please enter the name of the event and participant. Review your payment then hit "send money". It's that easy! |
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Contact Name:
Phone Number:
Email Address: |
___________________________________________
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Please return this form
with your
payment to: |
Friendship Adventures
c/o Maureen Browning
21218 W Lost Lake Road
Snohomish WA 98296
maureen@friendshipadventures.org
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event participation form