* 1. Name of youth attending?

* 2. Which CON will your child be attending?

* 3. Gender of child/youth attending?

* 4. Child/youth's age?

* 5. Is a parent willing and able to chaperone and/or drive for this CON?

* 6. Name(s) of parent/guardian attending?

* 7. Gender of parent/guardian planning to attend?

* 8. If you're willing to drive, how many total passengers will your vehicle carry?

* 9. Child/youth dietary restrictions

* 10. Adult/chaperone dietary restrictions?

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