Montour County -                                          End of the Year w/ Williamsport Crosscutters
*This form will remain open until 4:00pm on Friday, May 10th.  A waitlist will be available after the form closes.  If you are on the waitlist and tickets become available, you will be notified via email.  Please note that this form must be filled out by a parent or legal guardian.*

Use this form to register Insight PA students and ONE chaperone (per household) for our End of The Year Event:  Williamsport Crosscutters in Montour County on Tuesday, June 4th, 2024.  Tickets must be picked up from Kristin Seidel (Insight PA’s Community Engagement Coordinator) by 5:30pm at the main gate on the day of the game, no exceptions.

*Families needing to add additional tickets for the picnic area can email Kristin Seidel, krseidel@insightpa.org.  Additional tickets cost $25 per person. Children under 5 years old are FREE.

More information about this event can be found here. Specific event details will be sent via email one week prior to the event.

*If you have questions about this event, please contact Kristin Seidel (krseidel@insightpa.org or 570-807-1779).

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Email *
Parent/Guardian FIRST NAME *
Parent/Guardian LAST NAME
 *
Parent/Guardian EMAIL ADDRESS
 *
All event communications will be sent to this email address. Please confirm that your email has been entered accurately.
Parent/Guardian CELL PHONE NUMBER
 *
How many currently enrolled Insight PA students will be attending this event? *
If you need to register more than five students, please contact Kristin Seidel (krseidel@insightpa.org).
What is the first and last name of the chaperone who will be attending the event for free with their student(s)? *
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