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Please fill out the appropriate section (A or B).  We will contact you soon.  Thank you.

Section A – Group Registrations only (7-25 children)
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Name of Organization / School*

Organization Website

Contact Person*

Contact Phone Number(s)*

Reply Email Address*

Mailing Address*

City, State, Zip*

Number of Children Attending Rally
(max 25):

Preferred Rally Month:

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Section B – Individual Registrations only (maximum 8 Children)

Child #1Name*: Birthdate (M/D/Y):

Address*

City, State, Zip*

Adult's Email Address*

Adult's Phone Number*:

Preferred Rally Month:

Child#2 Name: Birthdate (M/D/Y):

Child#3 Name: Birthdate (M/D/Y):

Child#4 Name: Birthdate (M/D/Y):

Child#5 Name: Birthdate (M/D/Y):

Child#6 Name: Birthdate (M/D/Y):

Child#7 Name: Birthdate (M/D/Y):

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