Name
*
First Name
Last Name
Email
*
example@example.com
Name of child(ren) you are remembering
*
Please upload a picture of your child(ren). Pictures will be displayed during the event. Please also bring a printed picture to share at your table.
Browse Files
Drag and drop files here
Choose a file
If unable to upload, please email picture with name to mary@starlightmin.org.
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The event will include a panel discussion. Please list questions or topics you would like the panel to discuss.
Dietary Restrictions
If payment is an issue please email stephanie@starlightmin.org
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Single Registration
Dinner Reservation for One
$
25.00
Couple Reservation
Dinner Reservation for Two
$
50.00
Credit Card
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