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Sweetheart's Night Out Registration
PLEASE FILL OUT ONE FORM FOR EVERY CHILD YOU WISH TO REGISTER.
Parent Name (First and Last) *
Your answer
Parent Cell Phone *
Your answer
Child First Name *
Your answer
Child Last Name *
Your answer
Age of Child *
Your answer
Please list allergies here, or write "None" if none. *
Your answer
Emergency Contact during this event (Name, Phone Number, and Relationship to child) *
Your answer
2nd Emergency Contact during this event (Name, Phone Number, and Relationship to child) *
Your answer
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