Registration

Sparkle Unicorn One Day event for ages 3-9 years old. Includes craft, games, and dancing.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

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Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Additional Information:

Payment Policy/Video & Photo Waiver

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Other Questions/Comments:

Credit Card Verification:

Card Number: *

Name as it appears on card: *

Nickname:

Card Expiration Month: *

Exp Year: *

Address Line 1:

Address Line 2:

City:

State: Zip:*