Event Registration

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Connect on Tuesday, October 22, 2019 @ 6:30 PM

No Fee
INSTRUCTIONS
Each person will need to be registered individually. Please enter your information, select child care if needed, complete registration details, and then click Next at the bottom of the page. This will enable you to complete your registration or register another person in your party. Thank you!
Participant Details
If registering as an adult, enter adult's info above and select Adult below. If registering a child for child care, please enter your child's information above and then select their age group below.
1No Fee 
1No Fee 
1No Fee 
1No Fee 
Child Care Need
Please select the number of children needing child care and how many weeks they will need care.
If you already selected child pricing and clicked "Add Another Person," you may use "Already selected/None Needed."
1No Fee 
6.00 
8.00 
10.00 
ADDITIONAL INFORMATION
*Date of Birth:
*Gender:
CHILD CARE INFORMATION
Please complete the following details if registering a child for child care.
Allergies / Dietary Restrictions:
*Does your child have a Special Needs diagnosis?:
If yes, please share Special Needs diagnosis:
EMERGENCY CONTACT
*Name:
*Cell #:
*Relationship:

HAVE ANOTHER PERSON TO REGISTER?
To register another person, click the Next button below. On the next page, then click the Add Another Person button to be directed back to register your next person.