Mirage Mas 'Welcome to the BIG TOP' Kiddies Carnival Registration Form 🎉🎈
Please fill out this form to register your child for the BSOCCAH Kiddies carnival Saturday August 22nd.
Child's Full Name
*
First Name
Last Name
Child #2 Full Name
First Name
Last Name
Child's Age
*
Child #2 Age
Guardian's Full Name
*
First Name
Last Name
Guardian's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Guardian's Email Address
example@example.com
Any Special Needs or Notes (ambulatory, allergies, sensory etc)
My Products
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Cotton Candy
Girls section w/backpack option
$100.00
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Â
Â
Ringmaster
Boys section
$90.00
$
90.00
Quantity
1
2
3
4
5
6
7
8
9
10
Â
Â
Clowning Around
$90.00
$
90.00
Quantity
1
2
3
4
5
6
7
8
9
10
Â
Â
Register
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