Text Box: Registration Form Name _______________________________________________________ Address _____________________________________________________ City _______________________ Zip __________ Sex: M or F (Circle One) Phone __________________ Emergency or Cell Phone _____________________ Birth date _______________ Age _________ Grade ______________ School _________________________ Program __________________________________ Center/Building Location _________________________ Shirt Size (Does not pertain to all programs) Please circle correct size. NO EXCHANGES! YS (6-8) YM (10-12) YL (14-16) AS (34-36) AM (38-40) AL (42-44) AXL (46-48) Pictures (Does not pertain to all programs) I would like to purchase ______ picture packages at $10 per package. Enclose a check or money order, payable to CBRC for each program. A $7 fee will be added after the program deadline for each program and $2 late fee for each picture package will be charged after the deadline. No registrations will be accepted by telephone or at the program site. Cash, checks, Visa and Master Card, are accepted at the office, 2101 5th Avenue, Altoona, PA 16602 Please note: There will be a $5 administration fee charged for each refund and $20 fee charged for each returned check.