Lemonade Day Participant Registration Form

Parent/Mentor Information

First Name

Last Name

Phone

###-###-####

Zip/Postal Code

My Relationship to Participant(s)

Participant Information

Please fill in all fields

Participant Name (first & last)

School Name

School District

Gender

Ethnicity

Grade

I have read and agree to the terms and conditions

I agree

I have read and agree to give consent

I agree