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2018 Year of the Dog New Year Celebration
registration form for FCC-STL 2018 New Year celebration
Family Name *
last name
Your answer
Parent(s) First Name(s) *
parent(s) first name(s)
Your answer
Email address *
will be used to communicate information prior to the event (updated parking information, etc.)
Your answer
Cell Phone Number *
will be used during the event if there is an emergency
Your answer
FCC - Membership *
please indicate if you are current with your FCC Membership
Dumplings or Chopstix? *
please indicate if you are currently enrolled on one of the China Care programs
Total Number of Attendees *
if you are a Chopstix family do NOT include your mentor in the head count
How many children will be attending? *
0
1
2
3
4
5
6
Under the age of 10
Between ages 10-15
Older than age 15
What will you bring? *
we are asking each family to help out and bring one of the items listed below
Additional Information
please provide any additional information that you feel is important
Your answer
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