* required information
Registration 
Registration Information
Event Location:*
First Name:*
Last Name:*
Age Group:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Email:
Phone:
Cell Phone:
Allergies or Dietary Needs:
Are you a wish child?:* Yes
No
Are you a Wish Family Member:* Yes
No
Fees
  Free Registration:
Total number Attending, including yourself
 
Quantity:* 
Total Cost: $
Donation
Amount:$
Additional Information
How did you hear about the event:*