Reindeer Mile Registration

Child's Name (First & Last)*

Child's Age*

Child's Current Grade*

School Child Attends*

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

Phone* - -

Address*

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Amount$10.00

I would like to pay for the credit card processing fees.

Subtotal: $

Fees: $

Grand Total: $

Payment Method:*

Payment Notes/Additional Info:

Name Associated with Payment:*

Email Associated with Payment:*

Credit or debit card*