Welcome! This registration form needs to be completed and the related Sign or Marshal fee payment made by March 15, 2018. Please be as complete and accurate as possible. The information you provide is used for the program, ball invitations, program script, etc.

If you are registering a Sign (female), you may make a secure, online payment with a debit/credit card at the following link: http://weblink.donorperfect.com/SignPayment.

If you are registering a Marshal (male), please use the following link: http://weblink.donorperfect.com/MarshalPayment.

Or you can complete the registration below and mail a check to Carroll Kimball at 110 31st Avenue North, Unit 602, Nashville, TN 37203, payable to the Eve of Janus.

Have questions? For Signs: Contact Sign Chairmen: Christi Grant at christirgrant@gmail.com or Lisa Harrison at lharrison3@att.net. For Marshals: Contact Marshal Chairmen: Paige Bainbridge at paigebainbridge@mac.com or Kathleen Estes at kathleenjestes@gmail.com.

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    Participant Information

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    Parent Information

    Please enter N/A in the required fields if information is not applicable.
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    Parent Printed Formal Names

    Formal names as you wish them to be printed in the program and announced at the presentation
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    Parent Contact Information

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    Younger Sibling Information

    We are interested in this information for future Eve of Janus participants.
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