Home School Field Day & Picnic Registration

Friday, June 6, 2006 -- 10 am to 12 pm
at the Salyards Family Residence in Boring, Oregon 97009

NOTE: Please RSVP to Sher Salyards via this form or phone (503-358-3752) with the following information
for the children participatingby Wednesday, June 4. When you click submit, you will receive
an email confirmation with the address and contact information.

Parent Name (First, Last) *
E-mail Address: *
Phone Number *
Number of Adults coming *
Number of Children coming *
Childs Name - Age [boy or girl] one child per line *
Comments or Questions
Verification Code:
Enter Verification Code: *
* Required