Data Entry Badge Number:Full Name:Age (in years):Badge Name:Address Line 1:City:ST:ZIP (5 digit):Phone (10 digit):Email:Email Prog. Rpt?:YesNoPrevious MSC?:YesNoAdult Full Wknd:Child Full Wknd:Adult Friday:Child Friday:Adult Saturday:Child Saturday:Adult Sunday:Child Sunday:Child-in-towCSG:BanquetSubmit