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Gateway 2023 Child Registration Form
All minors (17 years and younger) must be registered and accompanied by an adult. Please fill this form out by Sunday, June 4, 2023 at midnight.
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* Indicates required question
Please enter your Gateway Ticket Number
*
Your answer
Please enter your full legal name
*
Your answer
Please enter any other name you will be using at the event or else enter N/A
*
Your answer
Please enter your child's date of birth
*
MM
/
DD
/
YYYY
Please enter child's ticket number
Your answer
Please Enter your child's full legal name
*
Your answer
Please enter any other name your child may be using at the event or enter N/A
*
Your answer
Where will you all be camped? (Include theme camp names)
Your answer
Emergency Contact Information
Your answer
Please list any other parents/guardians who will be responsible for watching your child.
*
Your answer
Enter your email address
*
Your answer
Does your child have any serious allergies or other health concerns that you would like to inform us of in case of an emergency? *
*
Your answer
Any additional information you would like to share?
Your answer
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