Please print this form. The completed form will be required at registration.

Name of chapter: ______________________________________

Total number of students in your group:  _______________________________

Total number of chaperones in your group:  _______________________________

(Adult sizes only)

Small        _______________

Med        ________________

Large       ________________

XLarge    _________________

2X Large (if available) ______________________

3X Large (if available)  ________________

TOTAL __________________

(must equal total number of registered students and chaperones)