Registration
The Party will run from 6:30-9:00pm. We will play games do a craft watch a movie , and have a dance party! Pizza will be served.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)
 
 
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Additional Information:
 
 
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