| Day Trip Registration |
| Name: |
| Mailing Address: |
| Telephone: |
| Please list all the adults you are registering. |
| Please list all the children you are registering. |
| Is there anyone you are registering with special needs or medical condition. |
| Yes No |
| If yes, please fill out a medical form. |
| Medical Form |
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| Yes No |
| Are there any vegetarins in the group you are registering? |
| May Day 2007 Tshirts must be pre-ordered and paid for with registration. T-shirts not paid for by May 15th will not be ordered. |
| I would like to order the following T-shirts. (Please list size and type) |
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| Email: |
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| Please make sure you have completed all the above information before clicking the submit button! |
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| The Southern Delta Church of Wicca-ATC reserves the right to refuse service to anyone! |
| To pay with paypal return to homepage and click the paypal button! |
