Student Full Name: *

Grade Level: *

K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Parents/Guardians Names: *

Phone *

Email *

Name of Attendees: *

Would you like to pay ahead with creditt card? If so the price would be $17.00 *

Yes, pay with credit card
No, pay with cash at the door
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Special Notes: