Children's Christmas Party Registration Slip

                                                     Children must be 12 years of age or under

                                       Please complete and turn in no later than December 5, 2009.

                                             Members must be a current member in good standing.

Member's Name: __________________________________________________________

Child's Name: _____________________________________________________________

Male or Female: _______________________

Age: _________________________________

Child's Name: _____________________________________________________________

Male or Female: _______________________

Age: _________________________________

Child's Name: _____________________________________________________________

Male or Female: _______________________

Age: _________________________________

                                                                                    (Attach additional page if needed)