Dakota Adventist Academy

Bismarck | ND
Chaperone Registration (Chaperones must be on campus at all times during the festival.)

Lastname: *
Firstname: *
Phone Number: *
This is a number that you can be reached - at ALL times.
Email: *
List an email where you can be contacted.
Please indicate if you are:  a parent;   the school principal;   the school aide;   the school teacher;   a school board member;   other;  *
School: *
This is the school you brought students from.
Please list ALL of the chaperones accompanying your school as well as
the students you are in charge of: *
Comments:
Fields marked with an * are required.