Superior Adventures 2008 Application
Students Name:
*
Address:
*
Home Phone Number
*
Students Gender:
Students Ethnicity:
Parent/ Legal Guardian Name:
*
Work Phone Number:
*
Email Address:
Grade Student is Entering in Fall 2008:
*
Does this student have any special needs we should be aware of?
*
In case of Emergency who should we contact?
*
Relationship to student:
*
Emergency Contact Number:
*