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Valentine's Night Out
*Please fill out 1 form for EACH child (CHILD MUST BE POTTY-TRAINED)
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Email
*
Your email
Child's Name
*
Your answer
Child's Age
*
Your answer
Parent's Name
*
Your answer
Parent's Phone Number
*
Your answer
Parent's Location
*
Your answer
Allergies? Please List
Your answer
Dinner
*
Pizza
Brought own
Siblings at Valentine's Night Out (Names and ages)
*
Your answer
May your child be photographed for our FB and Instagram pages?
*
Yes
No
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