Editing previous response:

Please fix the highlighted areas below before submitting.

Crusader For A Day

Parent/Guardian Contact Information

Parent/Guardian First Name*

Answer required for "Parent/Guardian First Name"

Parent/Guardian Last Name

Answer required for "Parent/Guardian Last Name"

Parent/Guardian Email Address*

Answer required for "Parent/Guardian Email Address"

Student Contact Information

Student First Name*

Answer required for "Student First Name"

Student Last Name*

Answer required for "Student Last Name"

Address*

Answer required for "Address"

Phone Number*

Answer required for "Phone Number"

Gender*

Answer required for "Gender"

Male

Female

Student Current School*

Answer required for "Student Current School"

Current Grade Level **

Answer required for "Current Grade Level *"

7th

8th

Allergies?*

If yes, please list below.

Answer required for "Allergies?"

Additional Information/Comments

Answer required for "Additional Information/Comments"