* 1. Parent's Name:

* 2. Number of Adults Attending:

* 3. Number of Children Attending:

* 4. What grade level are the chidren in attendance?

* 5. Mailing Address:

* 6. E-mail Address:

* 7. What is your primary telephone number?

* 8. Which event(s) will you be attending?

Please remember: All participants over the age of 3 must show their Moody Gardens Annual Membership card at check-in, otherwise they will have to pay upon arrival. An e-mail confirmation will be sent to you once we recieve your registration. Please allow two business days for arrival of e-mail confirmation.

Thank you and we look forward to seeing you at our Home School Days!