Registration for One

JUGGLING FOR JOY

Your Subtitle text

You have chosen to participate in Juggling for Joy which is a great way to get involved to help kids in need. To start please fill in the spaces below to complete our form.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Phone:
Email:
Team/Organization:
Age:
Date of Juggle-A-Thon:
Event Location:
How did you hear about us:
Release from Liability. I hearby warrant that my child is in good physical condition and capable of participating in this event. I hereby waive, release and hold harmless Jugglign for Joy, it's staff, any persons invovled in the planning or sponshorship of this event, and Cross International from any and all liability for any injuries and illness incurred during participation. I will be responsible for any and all costs of medical attention and treatment for my own child. Juggling for Joy or its staff is not responsible for any personal items that are lost, stolen or damaged. Accepted and agreed:	Accept
Child's Name
Date:
Parent/Guardian Name:
Parent/Guardian Signature:

Now click on on the "Record of Donations Pledged" to print a donations form to use when you collect donations. Click on the "How to Participate Page" for further instructions.