Birthday Wish Form
Please complete this form and payment for your child's name to be shared on our electronic sign at least two weeks before their birthday.  Note: the sign is turned off on weekends, so birthdays will be announced the Friday prior.
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Child Name *
Child's Birthday *
DD
/
MM
/
AAAA
Parent Contact (Name and Phone Number) *
How will you being paying ($2)? *
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