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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- What is your home parish? REQUIRED Please fill out this field. Please enter valid data.
- Please list an additional emergency contact during this event. REQUIRED Please fill out this field.
- Child's full name REQUIRED Please fill out this field. Please enter valid data.
- Child's age REQUIRED Please fill out this field.
- Grade REQUIRED Please fill out this field.
- Child's full name Please enter valid data.
- Child's age
- Grade
- Child's full name Please enter valid data.
- Child's age
- Grade
- Child's full name Please enter valid data.
- Child's age
- Grade
- Child's full name Please enter valid data.
- Child's age
- Grade
- Do any of the listed children have food allergies? REQUIRED Please fill out this field.
- If yes, please explain.
- Do any of the listed children have special learning or behavioral needs? REQUIRED Please fill out this field.
- If yes, please explain.
- Cost is $5 per child payable by cash or check at the time of the event or by card using Online Giving https://sttheresa450.org/on-line-giving
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