2024 Circles of Fun Registration Form

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Please fill out ONE FORM PER CHILD.
June 5th-9th, 2024 at the Ahern Hotel, Las Vegas, NV

LOCATION:
The Ahern Hotel & Convention Center
300 W Sahara Ave, Las Vegas, NV 89102

$65 Registration Fee covers all in house activities, snacks, T-shirt, backpack, etc.
Off-site activities available for additional costs. See below for details.

*** Please submit form by April 15th
***$65 Registration Fee due by April 30th.
*** Remaining balance due by May 20th
*** Instructions on how to pay will be emailed to you after submitting this form.

***For further information or questions, please contact Sandra Lynn at smithsandralynn@att.net (831) 345-5000

Child's Name *

Child's Age *

Parent/ Guardian's Name *

Phone Number *

Email *

2nd Parent/ Guardian Name and Contact Number

Events of Interest for Additional Cost *

Friday, June 7th Field Trip- includes transportation, lunch, snack, and swim (max $35, this will be updated as soon as venue is selected)

Saturday, June 8th- Water Park ($25)

Saturday, June 8th- Founder's Dinner ($20 per plate)

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