Send your info to the House!

~ To be completed by all participating House McFionn members ~
First:

Middle:

Last: Birth Date:

Your Address and Contacts
Street:
City:

Zip:

Phone: Day

Phone: Night

Email:

Important! Please give us an emergency contact.
Phone:

Contact Name:

Member sponsor:
Allergies/Dietary or
Necessary Medical Info:
Persona/Character
Information:
Additional Comments: