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Parent/Guardian Information

Please Note: All are welcome to attend Junior Irish Night. HOWEVER, ALL SWAG BAGS HAVE BEEN RESERVED.
Please complete this form to register for our Junior Irish Event!

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* 1. Parent First Name

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* 2. Parent Last Name

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* 3. Parent Primary Phone Number (333) 333-3333

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* 4. Parent Email Address

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* 5. Parent 2 Email Address

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* 6. Street Address

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* 7. City

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* 8. State

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* 9. Zip Code

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* 10. Help us best prepare for our Junior Irish event!

Please select the total number of child(ren) in the same household that you are registering for our Junior Irish event. You will have an opportunity to enter additional information for each child in the form below.

Please note: You are welcome to bring your child's friend (We would love that!), however, please fill out a separate registration for that student.

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