You R You Full Scholarship Registration Form 2026 | United Way of Washington County East

Parent Contact Information:

First Name:

Last Name:

Email:

Phone:

Relationship to Child:

Are you their Emergency Contact?

Do you want to add a second contact?

Yes

First Name:

Last Name:

Email:

Phone:

Relationship to Child:

Address

Apt, Suite or Bldg.

City/Town

State/Province

ZIP/Postal Code

Participant Information

First Name:

Last Name:

Gender:

Preferred Pronouns:

Date of Birth:

Name of School, Fall 2026

Please list any known allergies – if none put NA

Please list any medications the participant is currently taking

Please select a t-shirt size (Adult Sizing)

Participant Waiver

Please click here to view the waiver.

I agree to the Participant Waiver

By checking this box, I confirm I have read, understood, and agreed to these terms and conditions from United Way of Washington County-East and Hidden Pines Ranch.

Sign here

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How did you hear about this event?