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REGISTRATION FORM
FRED’s HALLOWEEN 2020 | GLUCOMAN AT YOUR PLACE!
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Register to FRED's newsletter to win a chance to have Glucoman deliver a candy pumpkin full of candy and surprises to your child on your doorstep.
Parent's name
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Parent's email
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Parent's phone number
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Complete Address
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Brother and sister at home ?
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How many under 12 years old ?
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Name and age of the child
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Meeting with Glucoman on October 31st, 2020
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AM (9:00-1:00)
PM (1:00-6:00)
I agree to have Glucoman come and visit outside my house with all sanitary measures. *
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