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REGISTRATION FORM

WE'RE EXCITED THAT YOU'RE COMING TO OUR NEXT EVENT NIGHT.
EVENT NIGHT - SEPTEMBER 8TH, 2018

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PLEASE FILL OUT THE REGISTRATION FORM BELOW:


Name *
Name
Phone *
Phone
Please give us ONLY the names and ages of the children you will be bringing with you to this specific Event Night.
No Children
Odd question, we know, but it's for a surprise! THIS EVENT ONLY. This will remain anonymous.
Photo Release
Authorization for Release of Information
ONLY check boxes below if applicable:
Medical Release
Person of Concern?