Community Outing Registration Parent/Guardian's name(Required) First Last Email(Required) Please provide an email in the event we need to contact you about any changes or your registration.Phone(Required)Please provide your phone number in the event we need to contact you about any changes or your registration.Upcoming eventsPlease tell us how many students are attending which event(s). If you are NOT attending an event, you can leave that date quantity blank.I understand that this community outing is designed for children who stutter. Siblings or family members ages 7 years+ can join in the group but must be registered. Anyone younger than 7 is welcome but requires parent/guardian supervision.(Required) Yes NoStudent's name(Required) First Last Age(Required)Please list any other children attending and their ages.Saturday, November 11, 2023 Quantity Price: $25.00 Quantity Saturday, December 9, 2023 Quantity Price: $1.00 Quantity Saturday, January 13, 2024 Quantity Price: $25.00 Quantity Saturday, February 10, 2024 Quantity Price: $25.00 Quantity Saturday, March 9, 2024 Quantity Price: $25.00 Quantity Total Credit CardCard Details Cardholder Name Δ
