Kids Day Activity Registration 11/14 /26

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Kids Day event for 1st-8th graders on Saturday, November 14th, from 3:00-6:30 PM.

$7/kid, to cover pizza, snacks, and drinks per participant.

Last day to register is Monday, November 9th

Parent/Guardian Name

*

Parent/Guardian Email

*

This address will receive a confirmation email

Parent/Guardian Phone

*

Child 1 Full Name

*

Child 1 Phone

Child 1 Grade

*

Please select one option.

1st 2nd 3rd 4th 5th 6th 7th 8th

Child 2 Full Name

Child 2 Phone

Child 2 Grade

Please select one option.

1st 2nd 3rd 4th 5th 6th 7th 8th

Child 3 Full Name

Child 3 Phone

Child 3 Grade

Please select one option.

1st 2nd 3rd 4th 5th 6th 7th 8th

Payment

1 Child ($7) 2 Children ($14) 3 Children ($21) 4 Children ($28)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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