A Day to Remember Registration
Event Details:

Same as last year - we are hitting the road and bringing the party to you! Small "party crews", abiding by all social distancing guidelines, will be visiting homes for an outside mini dance party complete with a party gift box! 

WHAT:    A Day to Remember!
WHEN:    Sunday, Jun 13, 2021
WHERE:  We are coming to YOU!
WHO:     Our Honored Guests - Individuals with special needs (in Dane County only)
               *Open to first 200 people registered*
COST:     Free!


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Valid Email Address *
**** IMPORTANT **** Please double check your email address for any errors. We will communicate ALL details about the event to this email, and we want to be sure it gets to you.
First Name (Honored Guest) *
Last Name (Honored Guest) *
Phone Number *
This is the phone number we will call / text the day of the event to let you know we are on the way.
Is this a mobile phone that can receive texts?
Address Line 1 *
This is the address that we will plan to go to on the June 13, 2021.
Address Line 2
City (Must be located in Dane County please) *
Postal Code *
Are there any details we should know about your physical location, before we come to you on June 13th? (ex: construction, dead end street, house on the corner, apartment building)
Help us call you by the proper pronoun *
Birthdate *
MM
/
DD
/
YYYY
Honored Guest's age as of Sunday, June 13th, 2021 *
Favorite Dance Song(s)
Favorite Snack Food(s)
Favorite Color(s)
Is there anything else you want us to know about you?
Are there any sensory concerns, such as camera flashes or loud noises, that we should be aware of?
Are there any health concerns or food allergies we should be aware of?
T-Shirt Size (XS-4XL Unisex t-shirt sizes) *
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