Event Registration Form

St John’s Kidz Jam

August 20th, 5-8 PM

Please register each child attending by August 13.

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* 1. Child's Name

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* 2. Child's Age

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* 3. Pickup/Dropoff Person(s) Name(s)

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* 4. Contact For Person Picking Up

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* 5. Child Special Needs/Allergies