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Phoenix Karate Parents Night Out
Please fill out this form before attending
Prices:
Member: $20
Non-Member:$25
Pizza: $5
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Parent or Guardian Name
Your answer
Member - Non Member
Member
Non-Member
Clear selection
Will you add Pizza and a Beverage for $5 Dollars?
Yes Pizza
No Pizza
Clear selection
How many kids are attending?
1
2
3
4
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Names of Participants
Your answer
Allergies (please list each child)
Your answer
Emergency Contact Name and Number
Your answer
What is your email address?
Your answer
How will you be paying?
Venmo @Phoenix-Karate OR (Pay at the door QR Code)
Cash (Pay at the door)
Clear selection
Additional Comments *optional
Your answer
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