8/21/15 Teen August BBQ Registration

Teen Summer BBQ Registration
ASPIRE Center for Learning and Development

Friday, August 21st

6:00-7:30 PM

$35 recreation fee

*Registration and payment must be received by Wednesday, August 12th*
Attendee Name
Attendee DOB

MonthDayYear
Parent(s) Name
Home Address
Primary Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
E-mail Address
Allergies or Medical Concerns
Cash or Check - postal mail*Cash or Check - in person*
By clicking "submit," you are indicating consent for your child's attendance at this event and responsibility for recreation fee listed above.
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Teen Summer BBQ Registration