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Parents' Night Out: Movie Night!
Thank you for your interest in our Parents' Night Out Fundraiser! Please complete the form below.
**1 form per child.**
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* Indicates required question
Parent's Name(s)
*
Your answer
Emergency Contact #
*
Your answer
Email address
*
Your answer
Name of participant
*
Your answer
Participant's DOB
*
MM
/
DD
/
YYYY
Would you like to purchase a dinner plate for an additional $5?
*
Yes
No
Are you a current AODA member?
*
This means your family was enrolled in 2018-2019 or is currently enrolled in Summer 2019 or Fall 2019-Spring 2020.
Yes
No
If you are not currently enrolled, would you like to join our email subscription list to receive updates about other special events, registration, or class openings?
Yes
No
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