The GirlyRoots Connect:
Self-Love Pamper Party Registration
Child Name
Child Name (addt'l)
(If there is more than 1 girl)
Child Name (addt'l)
(If there is more than 1 girl)
Age(s)
Parent/Guardian Name
Phone Number
E-mail
Payment
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next
( X )
Registration Fee
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Enter coupon
Apply
Total
$
0.00
Credit Card
Submit
Should be Empty: