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6
Questions
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1
Name of Pumpkin Carver
*
This field is required.
Assistance is permitted for small children
First Name
Last Name
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2
Please Choose Age/Class
*
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Kids Aged 3-5
Kids Aged 6-8
Kids Aged 9-12
Teens Aged 13-17
Adults Aged 18+
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3
Name of Parent or Guardian if Pumpkin Carver is aged 3-17
Someone we can contact for your child
First Name
Last Name
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4
Email
*
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Contact For This Participant
example@example.com
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5
Phone Number
*
This field is required.
Contact For This Participant
Area Code
Phone Number
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6
A free pumpkin can be made available for pick up at The Copley House if you do not have one of your own. Would you like to pick up a pumpkin?
*
This field is required.
Date and time will be emailed to you.
YES
NO
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