Please print the following out and mail it in to sign up by April 15th!

Lemonaide Day 2011 Sign-up Sheet

Child's Name: ________________________________________________

Parent's Name (Please Print):______________________________________________

Parent's Signature:_______________________________________________ Date:____________________

Number of Individuals Participating:__________

Home Address:____________________________________________________________________________

________________________________________________________________________________________

Phone Number: (______)_________________________________________

Parent's Email Address: _____________________________________________________________________

School:__________________________________________________________________________________

Stand Location Proposal:____________________________________________________________________

1 Free T-Shirt provided per stand     Size:____________

                                       Sizes Availible: Adult:   S  M  L

                                                                Kids:   M  L

Optional Extra T-Shirts at $10.00 each- Quantity:___________ Size(s):___________

                                                   (Please make T-Shirt check payable to Kids Helping Kids and send with form)

Please Send To:

Kids Helping Kids, Inc.

5900 Ashby Manor Place

Alexandria, VA 22310

We will send you a confirmation letter and more information when we receive your form)

Questions? Email:  may21@cox.net or phone: 703-317-1911