Escape Room - Steam Punk Pirate Conspiracy

Escape Room - Steam Punk Pirate Conspiracy!

One participant per form
Saturday April 18th and 19th
Up to six people can sign up for each 30 minute slot. Bring your family and some pals! Ages 9+ recommended.

Each group must include at least one adult.
Participant's Name*

First NameLast Name
Age of participant (or write "adult")
Mississippi Mills Library Card Number*
All residents of Lanark County can apply for a FREE card. An out of region child's card costs $10/year. Call 613-256-1037 to apply for a card by phone or drop by a library branch in Almonte or Pakenham.
E-mail*
You will receive a registration confirmation by email.
Emergency Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
I hereby give my consent for the Mississippi Mills Public Library to use my child's photograph and likeness in its publications. Names will NOT be tagged to any photos uploaded to the internet.*

YESNO
Choose ONE sign up time
Please verify that you are human*
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Escape Room - Steam Punk Pirate Conspiracy!