Dance Marathon 2015 Elementary Registration
This year's marathon will be on Saturday December 5th from 2pm-11pm in the Pit at North Scott High School! All proceeds will benefit the University of Iowa Pediatric Oncology Unit! Thanks for participating FOR THE KIDS! Please return this form by November 15th to be guaranteed a tshirt! Money and paper forms should be sent to Karen Pauly at NSHS.
Sign in to Google to save your progress. Learn more
Parent/Chaperone Name (Last) *
Parent/Chaperone Name (First) *
School your kid(s) attend *
T-Shirt Size #1 *
T-Shirt Size #2 *
T-Shirt Size #3 *
T-Shirt Size #4 *
T-Shirt Size #5 *
T-Shirt Size #6 *
Parent/Chaperone Registration *
($25 per parent/chaperone)
Child Registration *
($20 per additional child)
Total Money Owed *
Method of Payment *
If paying with a check, please select "Other" then put the check number in the box provided.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Scott CSD. Report Abuse
Google Forms