Register your Star

Please fill out the form below if you would like your child to participate in the event. Once you have submitted your information, you should receive an email regarding instructions for the event within 24 hours.

Register Your Star for our 2026 Event

Participants First Name*

Participants Last Name*

Participants Birthday*

Month

Day

Year

Participants Shirt Size*

Child X-Small

Child Small

Child Medium

Child Large

Child X-Large

Adult X-Small

Adult Small

Adult Medium

Adult Large

Adult X-Large

Participant Pant Size*

Participant Diagnosis (if any)*

Is there anything specific we need to know about participants diagnosis? Any Special Instructions?*

Will participant be using any special equipment to assist with mobility during the event? If so, please list and explain: *

Does participant require assistance with anything specific? If so, please explain: *

Does participant have a specific helper that they would like to volunteer to help them during the event? If so, please provide their name and contact information: *

Tell us about your star! Mention their: Age, grade, things that make them happy, hobbies/interests, etc.*

Parent or Guardian First Name*

Parent or Guardian Last Name*

Phone*

Email*

Home Address (for our mailing list)*

Anything else you'd like to tell us? Do you have any questions you'd like us to contact you about?*

Please upload an image of your participant*

I understand that by signing this form, I am authorizing MissionIsPossible to use this information and my participant's uploaded image on the website for fundraising, promoting the event, and also during the event itself.*

I agree

Parent or Guardian Signature

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Stars of Rome

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Email*

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