Christmas Palooza Registration
$5 Registration Fee - Pay at the Door
Parent Name
First Name
Last Name
E-mail
Phone Number
-
Area Code
Phone Number
Child 1 Name
First Name
Last Name
Child 1 Age and Allergy Information
Child 2 Name
First Name
Last Name
Child 2 Age and Allergy Information
Child 3 Name
First Name
Last Name
Child 3 Age and Allergy Information
Comments or Requests
Register
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