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LIFE SPRINGS CHURCH is excited to host a “Night to Remember” special needs prom on February 7, 2020 from 6:00 pm until 9:00 pm at the Dennis A. Wicker Civic Center in Sanford! Last year we had over 150 guest to attend.

Anyone with Special Needs age14 or older who would like to attend will need to complete a Guest Registration form and return to Life Springs Church, 3215 Keller Andrews Road, Sanford, NC 27330 or email to melissa@lifesprings.online. Registration form is also available online at www.lifesprings.online/prom

For questions about registration and this event, please contact Life Springs Church at 919-718-1190.

Prom Location: Dennis A. Wicker Civic Center, 1801 Nash Street, Sanford, NC 27330.

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First Name:

Last Name:

Name as you would like on name tag:

Age:

Gender:

Female

Male

Rensa markering

Address:

Phone Number

Emergency Contact Name:

Emergency Contact Number:

Fun fact about you:

Health Concerns

Wheelchair:

Yes

Rensa markering

Special Communication Needs (if Yes, please describe)

Sensory issues (Camera flashes, strobe lights, loud noises, etc):

Allergies (list any applicable - food, latex, makeup, plant, pollen, etc.):

Nästa

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