Movie Night Selection *

Which Movie Nights will YOU attend

Fri, 10/20 - Haunted Mansion 2023 (PG-13)

Fri, 11/17 - Barbie (PG-13)

Fri, 12/15 - Dr. Suess: How the Grinch Stole Christmas (PG)

Fri, 1/12 - TBD

Fri, 3/8 - TBD

Fri, 4/19 - TBD

Fri, 5/17 - TBD

Name of Participant *

First Name

Last Name

Birth Date of Participant *

MM

DD

YYYY

Participant: Cell Number (if applicable)

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Parent/Guardian #1 *

First Name

Last Name

Parent/Guardian #1: Phone Number *

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Parent/Guardian #2

First Name

Last Name

Parent/Guardian #2: Phone Number

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Participant Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country