Registration fee:
Youth (21 & under): $10.00
Adult: $15.00

Lunch will be provided with admission fee

Please print this page and fill it out. Please print legibly.

NAME                                                                                                .

DATE OF BIRTH                                                                               .

ADDRESS                                                                                         .

CITY                                                       STATE              ZIP            .

PHONE (        )                       EMAIL                                                 .

SCHOOL                                           DISTRICT                                .

MEAL PREFERENCE (circle one):     Vegetarian              Regular

Enclose check & mail to TOWER OF YOUTH   3711 Dell Rd. Carmichael, CA 95608