INTENSEMEN REGISTRATION

First Name *

Last Name *

Select Age: *

Adult (age 19+)

Child (age 8-18)

Choose only one age group. You will have the option to add boys to your registration below.

Street Address *

Address Line 2

City *

State *

Zip Code *

Cell Phone Number *

Email Address *

T-Shirt Size *

ADD BOYS TO REGISTRATION

Boys must be ages 8-18 to attend. A young man who is 19 or older must register seperately as an adult.

*An Alive T-Shirt is required for each boy.

How many boys would you like to register? *

Boy 1 First and Last Name

Boy 1 Date of Birth

Boy 1 Shirt Size*

Boy 2 First and Last Name

Boy 2 Date of Birth

Boy 2 Shirt Size*

Boy 3 First and Last Name

Boy 3 Date of Birth

Boy 3 Shirt Size*

Boy 4 First and Last Name

Boy 4 Date of Birth

Boy 4 Shirt Size*

Boy 5 First and Last Name

Boy 5 Date of Birth

Boy 5 Shirt Size*

Boy 6 First and Last Name

Boy 6 Date of Birth

Boy 6 Shirt Size*

EMERGENCY CONTACT INFORMATION:

Emergency Contact Name: *

Emergency Contact Number: *

Add an additional emergency contact for a child:

Yes

No

Enter the Child's Name, Contact's Name, and Contact's Number:

PAYMENT INFORMATION:

Number of Registrations (Please enter a number in both boxes. If one isn't needed, enter 0.): *

	Adult ($87)
	Boy(s) ($37)

Total Number of Group Meals:

Group Meal ($25 each)

Group meals are $25 for each adult and each boy. However, Group Meals are optional as you may choose to prepare your own food. Included in Group Meal:

Dinner Thursday

Breakfast, Lunch, & Dinner Friday

Breakfast Saturday

Sponsor Code:

Current Total:

$0.00

Have any additional comments/information?: