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Are you a current Sheldrake member?*

Yes

Parent/guardian’s name:*

Email address:*

Mailing address:*

Home phone #:*

Cell phone #:

Child’s name:*

Child’s gender:*

Male

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Child's date of birth:*

Child’s interests:*

Preferred date and time of party - 1st Choice*

Preferred date and time of party - 2nd Choice*

Preferred date and time of party - 3rd Choice*

# of Children Invited*

Age range of children:*

Comments/Notes

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