***Despicable Me 3*** -- Movie Night Sign Up
DATE: Friday, Dec 15th 2017
TIME: 6:30 - 9:30
COST: $20 for one child; $35 for two siblings; $10 each additional sibling
Open to all students, K-5 (and older alumni)
- Includes pizza dinner, snacks, raffle entry and door prizes
- Bring your sleeping bag for cozy movie viewing

## Thanks for supporting the 4th/5th grade overnight field trip ##

Email address *
Parent / Guardian *
Your answer
Home Phone / Cell Phone *
Your answer
Home Phone / Cell Phone #2
Your answer
Child Name -- $20 *
Your answer
Child Room# *
Your answer
Sibling #1 Name - $15
Your answer
Sibling #1 Room
Your answer
Sibling #2 Name - $10
Your answer
Sibling #2 Room - $10
Your answer
Add $5 per child to start at 6 p.m
Total Payment will be made via *
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