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First Name
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Your answer
Last Name
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Your answer
Phone Number
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Your answer
Your Email Address
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Your answer
Total Number of People attending with You (excluding you)
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Your answer
I am aware that there is a $3.00 cost per person to attend this event and will either prepay or pay at the beginning of the event
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yes
No (Please call 814-946-0417 ext. 125 if you have any questions)
I am aware that this program is scheduled to take place on Tuesday, November 1st from 6:00 PM - 7:00 PM. This program is designed for patrons 18 and older and may not be developmentally appropriate for other patrons.
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Yes
No (Please call 814-946-0417 ext. 125 if you have any questions)
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