1.What is your name ?

2.What is your phone number?

3.What is your age?

4.If under 18 please write the name of your parent/ guardian

5.What is the contact number of your parent/ guardian?

6.Do you need transport to the event ?

Yes

No

7.Are you willing to pay by April 18th to confirm attendance ? ($65.00 for the tour and $40.00 if transport is required)

Yes

No

8.Do you agree that you will arrive at church in time for departure at 3:00PM in order to reach the swamp for 3:30 for boarding of the boat

Yes

No