Program Sign-Up - Boneshaker

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

All registrations are final. No refunds, no exceptions.

School*
Participants Name*
First Last
Parent/Guardian Name*
First Last
Participants Age and Grade*
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 Quantity:
$100 per semester, please choose a quantity of 2 if you'd like to commit to the full year, please. *DO NOT PUT PRICE PUT QUANTITY 1 OR 2
Credit Card

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