REGISTRATION PAGE

call Joanne at 1-800-800-4005 x217 or email Joanne with this information or
print this out and mail with check to the address below*

Chittenden County dates: (check all or some)

I am:

q  enclosing the $5 registration fee (for each date)
q  paying at the door
q  requesting a scholarship

Name & address _________________________________________________
________________________________________________________________
Phone and/or e-mail _____________________________________________
________________________________________________________________
Name & age of child attending Sibshop _____________________________
________________________________________________________________
Food allergies or other concerns? __________________________________
________________________________________________________________
Permission to use photos for website/marketing? ____________________
________________________________________________________________

Dress comfortably and ready for action (soft-soled shoes, please!) 
We will make and eat our own lunch.

Sibshops are a collaborative effort of Vermont Family Network and the Howard Center

*mail to:
Vermont Family Network
Attn: Joanne Wechsler
600 Blair Park Rd, Suite 240
Williston, VT 05495