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Floyd Portrait Day Registration
Please fill out this form so we can have an accurate count on who to expect on Floyd Portrait Day. Please fill out a form for EVERYONE in your household including your children.
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* Indicates required question
Are you attending this event?
Choose
Yes! I'm coming.
No. I'm just registering my information in the family database
First and Last Name
Your answer
Nick Name
Your answer
Number
Your answer
Email
Your answer
Date of birth?
MM
/
DD
/
YYYY
Gender
Choose
Male
Female
I am a descendant of...(choose your patriarch or matriarch)
*
Choose
Albert Paul Floyd Sr.
Samuel Floyd
Clifford Daniel Floyd
Horace Jr. Floyd
Mary Lou Summerour
John Henry Floyd
Evelyn Floyd
Isaiah Floyd
Willie Frank Floyd
Punch Floyd (NOT REAL NAME)
Other (My Family patriarch or matriarch was not listed)
If not listed please List the name of your patriarch or matriarch/
Your answer
Dietary Preference
Choose
I'm good cuz. I eat everything!
I eat anything BUT pork
I am a vegetarian
I am a vegan
T - Shirt Size
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Kids Small
Kids Medium
Kids Large
Small
Medium
Large
XL
2XL
3XL
4Xl
5XL
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