Name
*
First Name
Last Name
Age
Gender
Any known food allergies or medical conditions?
Truck Hat or Clutch Purse
Clutch Purse
Trucker Hat
Parents Name
Parents Number
Parents Email
I give my child permission to participate in Design Space and hold Love Speaks Inc nor The Venue at Eden liable for any liability. I also understand this is a drop off event and also Love Speaks Inc is accepting monetary or food/item donations (25144287 to ask about donations).
Donations
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Registration
1 Child Admittance
$
20.00
Quantity
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Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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