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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 "continue". 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