Please send info from this form to [email protected]

PayPal: [email protected] (website connected to)

Zelle: [email protected]

Cashapp $msuaka

Name: _____________________________________________

Address: _____________________________________________

Phone Number: _______________________________________

Address: _____________________________________________

Email Address: _______________________________________

Arrival Date:__________________________________________

Number of adults (18 and over) @ $100 each ____________________

Number of children (ages 6-17) @ $60 each _____________________


T-SHIRT ORDER(S). T-shirts are included in the price of the registration

ADULT: Indicate number for each size

________ Small __________2X

________ Medium ________3X

________ Large __________ 4X


YOUTH: Indicate number for each size

________2T-5T _________Medium

________ Small _________Large