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Fight Night with Drs. Les and Leslie Parrott Registration
Leesville United Methodist Church
510 East Columbia Avenue
Leesville, SC 29070

Saturday, March 11, 2017
6:00 p.m.

Name
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Email
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Address
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Do you need child care while attending Fight Night?
If you do need child care, how many children will be with you?
Your answer
I understand that I will have to pay $5/person upon arrival ($10/couple)
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