DNA Kids Day Pre-Registration Form

For March 28th, 2008, at Rockhurst Univ.
Cost: $5.50 per kid / $10 per adult
(ratio of one adult per 12 kids is required)

SCHOOL:                                        

CONTACT:                                      

ADDRESS:                                      
                                                           
PHONE:                                           

#of Kids:            Grade:                 
DEPOSIT:                 (non-refundable!)
(Deposit is half the total due or $125, whichever is less.
Checks only please, payable to Reading Reptile.)

***Print and return to:
Reading Reptile
328 W. 63rd Street
Kansas City, MO 64113