Polar Express Movie Dec. 4                                           4 pm Ages 3-12,          7 pm   Ages 13-18
Polar Express Movie Entry form.  An adult must enter with all children under the age of 12.  
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Email *
Last Name of Child/Children *
First Name of Child/Children *
Ages of Children *
Number of Adults attending with Child (Ages 3-12) *
Phone Number *
Ages 13-18 Information.  Will a parent/adult guardian be attending?   *
The parent and child understands that inappropriate dress or behavior will not be allowed to stay in the event?   If  there is an issue a parent/guardian will be called for pick up. *
A copy of your responses will be emailed to the address you provided.
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