Program Sign-Up - Boneshaker

*If you need to sign-up for free or reduced lunch, please register here. Success High School Students register here.

All registrations are final. No refunds, no exceptions.

School*
Parent/Guardian Name*
First Last
Participants Name*
First Last
Participants Age*
T-Shirt Size*
Waiver*
- I agree to the official Boneshaker participation and photo release waiver.
  English Waiver
  Spanish Waiver
Phone*
Email*
Address*
City*
Zip Code*
Program Cost*
Price: $100.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name