General Event Registration

*required fields
First Name*
  
Last Name*
  
Number of Attendees*
NOTE: Space is limited.
Grandparents and immediate family are welcome to attend.
You will be emailed an admission ticket for this # of people.
Email*
Phone Number*
  
Are you a CHECC member?*  
How did you hear about this event?
     
We will be coming to hear Little Bear Wheeler ONLY, therefore we will
not participate in the Living History or Young Author's Fair
If you checked this box, please skip to the bottom to submit your registration
     
Living History Registration  
Name of participant #1 Character Name Year/Era
Description (brief sentence of historical significance)
         
Name of participant #2 Character Name Year/Era
Description (brief sentence of historical significance)
           
Name of participant #3 Character Name Year/Era
Description (brief sentence of historical significance)
           
Name of participant #4 Character Name Year/Era
Description (brief sentence of historical significance)
           
Name of participant #5 Character Name Year/Era
Description (brief sentence of historical significance)
           
Name of participant #6 Character Name Year/Era
Description (brief sentence of historical significance)
           
           
Young Author Registration  
Name of participant #1 Grade Title
           
Name of participant #2 Grade Title
           
Name of participant #3 Grade Title
           
Name of participant #4 Grade Title
           
           

         
Comments