<% ' RegisterAdults.asp ' 05-05-10 Adult Social Club Registration for 2010-2011 ' This file enters student information on-line and will be stored in the ' Adults2010.mdb database. %>

JPII HS Social Club Adult Registration For 2010-2011

Enter your last name Enter your first name(s) like Kathy & David Enter your evening contact phone Enter your preferred email contact for Social Club Information

Please indicate your interest in upcoming Social Club activities. Select an activity if one or both adults wish to participate.

Indicate your interest in Ballroom Dancing Activities I am interested in the fall Ballroom Dance Classes I am not interested in the Dance Classes I am interested in the monthly Friday Dance Outings after footbal season I am not interested in the Dance Outings

Indicate your interest in Rockclimbing Activities I am interested in Rock Climbing and/or Zip Lining I am not interested in Rockclimbing I am interested in Rock Climbing Supervision and Instruction I am not interested in Rockclimbing Supervision

Indicate your interest in the 2011 Family North European Cruise I am interested in the Trip and plan to attend the May 6 meeting I am interested in the Trip and plan to attend the May 13 meeting I am interested in the Trip, but cannot attend either meeting I am not interested in the European Trip

Indicate your interest in taking the Multimedia Course Yes, register me for the Multimedia Course I am not interested

Indicate your interest in the First JPIIHS International Bazaar I am interested in organizing and participating with the International Bazaar I am not interested in the International Bazaar