Walk-In Registration Form Name First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country If you are bringing children, please sign them up below If not, scroll down to submit Childs Name First Name Last Name Date of Birth MM DD YYYY Race Native American or Alaska Native Asian Black or African American Hispanic or Latinx White/Caucasian Unknown Other Ethnicity Hispanic Non-Hispanic Indigenous Prefer not to say Gender Female Male Prefer not to say Other Child Name #2 First Name Last Name Date of Birth MM DD YYYY Gender Female Male Prefer not to say Other Childs Name #3 First Name Last Name Date of Birth MM DD YYYY Gender Female Male Prefer not to say Other Thank you!
