Family Day 2012

Use this form to send your registration to us.  We're looking forward to seeing you!
 
Your Name *
First Name:  Last Name:
 
Student's Name *
First Name:  Last Name:
 
Name(s) of Guest(s)

 
Address *
Street
City  State/Province/Region
Postal/Zip  Country 
 
Primary Phone Number *

 
Alternate / Cell Phone

 
Email

 
Events at Family Day
Let us know which events you plan to attend.
 
5K Panther Scamper
Registration is $15.00 per participant. Ferrum College students can be admitted by donating three cans of food.

 
Number of Participants @ $15 each:
 
Preferred T-shirt Size:
 
Volleyball Players Family Breakfast
Current Ferrum students and children under 6 are admitted free!
 
Number of adults attending @ $6.00 each:
 
Number of children (6-12) attending @ $4.00 each:
 
Number of children under 6 / Current Ferrum Students attending (admitted free):
 
Blue Ridge Institute & Farm Museum Tour
Number attending:
 
Canoeing Trip on Philpott Lake
Number attending:
 
Picnic on the Lawn
Current Ferrum students and children under 6 are admitted free!
 
Number of adults attending @ $7.00 each:
 
Number of children (6-12) attending @ $4.00 each:
 
Number of children under 6 / Current Ferrum Students attending (admitted free):
 
President's Dessert Reception
Number attending: