Family Ties Snow Ball Dance Registration
Please contact Family Ties @ 724-319-2419 with any questions. ($5 donation per person)
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Guest's First Name *
Guest's Last Name *
Attending Support Person's First & Last Name *
Contact Person *
Contact Phone Number *
Contact Email Address *
Guest receives services through *
I certify below that registered guest listed above is 18 years or older & has an IDD Diagnosis *
Please list any specials accommodations for guest and/or attendant. *
Thanks to all our sponsors who are making this night possible!
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