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Registrant Information
Name *
First Name
Last Name
Address *
Address Line 1
Address Line 2
City
State
Zip
Email *
Phone
Admission Tickets
Adult Tickets
x $20.00
Child Tickets
x $15.00
12 and under
Family Special 1
x $40.00
1 Adult and 2 Children
Family Special 2
x $55.00
2 Adults and 2 Children
Family Special 3
x $80.00
1 Adult and up to 5 Children
Raffle Tickets
1 Raffle Ticket
x $5.00
50/50 raffle. Need not be present to win.
Set of 3 Raffle Tickets
x $10.00
50/50 raffle. Need not be present to win.
Set of 7 Raffle Tickets
x $20.00
50/50 raffle. Need not be present to win.
Donations
$25 Donation
x $25.00
I am unable to attend but would like to make a donation.
$50 Donation
x $50.00
I am unable to attend but would like to make a donation.
$100 Donation
x $100.00
I am unable to attend but would like to make a donation.
Note
 I would like to pay the 3% processing fee
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