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Event registration
Event Timing: February 16, 2019 - 10:00am-1pm
Event Address: 1101 W. College Ave, Jacksonville, Illinois - Bruner Fitness and Recreation Center
Contact Kristy Duncan with questions at (217) 245-3403 or kristy.duncan@ic.edu
Email address *
Child's Name *
Your answer
Child 1 t-shirt size
Child 2 name
Your answer
Child 2 t-shirt size
Child 3 name
Your answer
Child 3 t-shirt size
Child 4 name
Your answer
Child 4 t-shirt size
Parent's Name *
Your answer
Parent's email *
Your answer
Parent Phone Number (this number will be used if someone needs to be contacted during the event) *
Your answer
Current Grade in School *
Your answer
Dietary restrictions *
Does your child(ren) need any special accommodations? *
Your answer
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