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SIBS Weekend, April 5-7, 2013

Please complete the fields below and click submit when you are done.

Parent's Name:
WC Student (Host) Name:
Parent's Phone:
Names of Sib(s) Attending:
Names of Sib(s) Attending: Please list name & age inside the corresponding text field and select a T-shirt size next to name. NOTE: T-shirt priority is give to those who pre-registered. Pre-registration ends March 30, 2013.  If a shirt is unavailable at the time of registration one will be ordered for you.
1. Age:
T-shirt Size: YL S M L XL
2. Age:
T-shirt Size: YL S M L XL
3. Age:
T-shirt Size: YL S M L XL
4. Age:
T-shirt Size: YL S M L XL
5. Age:
T-shirt Size: YL S M L XL
I/We, , the parents/legal guardian of understand that our child(ren) will spend the weekend of April 5-7, 2013 at Wilmington College with . We agree to come to Wilmington College at any time during the weekend to pick up our child(ren) if it becomes necessary. We also give consent to have a Wilmington area doctor treat our child if they are injured. In the case of a needed consultation our family's doctor's name is and can be contacted at the following number .

If we are unable to be contacted please contact:
Name:

Phone:

Payment:
$25.00 for the first child $15.00 for each additional child.
(Make checks payable to Wilmington College A.P.B.)
Wilmington College A.P.B.
1870 Quaker Way
Pyle Center 1294
Wilmington, Ohio 45177

Please Check One:
Payment in the mail Payment upon arrival