Please fill out this form for each member of your family over the age of 13.

Name:
Address:
Home Phone:
Other Phone:
	work mobile
E-mail:
Age Class:	Adult Teen

Which activities are you interested in ?

Babysitting:	If you are under 18, what is your age?
Volunteering	Type (ex: clean park):
Card games	Type of Card Games:
Own a business? (name and type)	Business Description:
Board Games	Type of Board Games:
Hiring a babysitter
Bunco
Bowling
Mah Jong
Play dates for pre-schoolers
One day tour outings (adults)
Attending plays with a group
Dining out with a group
Walking Group
Other Activities (Please list:)