Mini Pines - Registration 
Join us on June 12th at 6:00pm for mini golf 

Mini Pines: 3800 42nd St NE, Cedar Rapids, IA 52402  

$12 per person . Price includes a round of mini golf, hot dog, chips and drink.  For this event you will pay directly at  Mini Pines 

This is a gathering for all ages. Children ages 12 and under must have a parent/guardian present with them. 
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Participant Name (First and Last)  *
Cell Phone Number 
Email Address 
Additional Participant Name(s)  
Emergency Contact Information (Name and Phone Number) 

Only for participants under 18 years old and parent/guardian will not be present. 

Children 12 years old and under must have a parent/guardian present. 
Payment 
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