Home About Volunteer Services Staff & Board Ways to Donate Contact Us Donate Now Spa City Challenge Registration Step 1. Fill out this form and tell us about your team. Your Contact Information Team Members Teams of at least 2 and no more than 6 in one team. Name Age 4 & Younger5 - 1213 & Older 4 & Younger5 - 1213 & Older 4 & Younger5 - 1213 & Older 4 & Younger5 - 1213 & Older 4 & Younger5 - 1213 & Older 4 & Younger5 - 1213 & Older Qty Price Total People (13 & Up) 0123456 x $25 = Children (ages 5 - 12) 0123456 x $15 = Note: Teams of at least 2 - no more than 6 per team. Grand Total: How will you pay?I will pay with PayPal.I will bring cash or check to the event. Step 2. Click the link below to pay your registration fee with PayPal. Pay Here with PayPal Jackson House | 705 Malvern Avenue | Hot Springs, Arkansas 71901 | 501-623-4048 | fax: 501-624-6705 | firstname.lastname@example.org Community Crisis Intervention Services, Inc., The Eleanor Klugh Jackson House for Crisis Intervention is a registered 501(c)(3).Copyright © 2008-2018 Eleanor Klugh Jackson House. All Rights Reserved.