Lucia Attendant Registration Form

$ 1000

$ 150

15%

Updated
17 Jan 2023

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Lucia Attendant Registration Form


Parent(s): *
Phone (incl. area code): *		(#'s only; no dashes/spaces/punctuation)
E-mail: *
Child #1: *
Age #1: *
Child #2:
Age #2:
Child #3:
Age #3:
Child #4:
Age #4:
Please note before pressing Submit: Required fields are indicated by an asterisk (*) Verify all information on this page. If you have more than four participating children, just submit another form!