Please enable JavaScript in your browser to complete this form.Youth Name *FirstLastGrade *School *Parent / Guardian Name *Parent / Guardian Phone (required) *Parent / Guardian Email (required) *Parent / Guardian Signature (use mouse or touch pad) *Clear Signature"I give permission for my son/daughter named above to attend the Outdoor Laser Tag event at Adventure Sports on Saturday, October 15, 2022 with St. John's Church of Steelstown, PA." Address (only for new youth)Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMessageSubmit
