Elementary Play Day | Mac-N-Bones
June 4 | 9am-Noon | Please fill out this form and click submit.
Name
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Parent's Name
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Email
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Phone
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Address
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Is someone else picking up your child
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If so, who will pick him/her up
If give McLaurin Heights Baptist Church permission to take pictures of my child to be able to use of promotional needs
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No
Are there allergies that we need to be aware of (especially food/environmental related)
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If so, please list
Payment
$8
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
June 4 | 9am-Noon
Please fill out this form and click submit.
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