Summer Spectacular 2010 1. Copy of page: Default Section Question Title * 1. How many children are you registering for Surf City's Summer Spectacular 2010? 1 2 3 4 5 6 7 8 9 10 Question Title * 2. What days will your children be attending? Friday Saturday Sunday Question Title * 3. Who will be the the EMERGENCY CONTACT for the children you are registering? Name: * Company: Address: * Address 2: City/Town: * State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Country: Email Address: * Phone Number: * Question Title * 4. Please list each child(s) FIRST and LAST NAME you are registering and their SCHOOL GRADE for 2010.EXAMPLE:Johnny Smith KSusie Smith 1stJoey Smith 5th Question Title * 5. Fiinally, how did you hear about Surf City's Summer Spectacular event? Flier Movie at the Park Website Friend I am a member of Ocean View Church Other Next