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eventregistration

 
Events RSVP/ Registration Form
Event:
Child/Participant:
Address:
DOB:
Age:
Grade:
Telephone:
Cell:
Email:
Emergency Contact:
Phone:
Program:
Fee $:
PLEASE MAKE CHECKS PAYABLE TO: Town of Stony Point
** I hereby give consent for my child to participate in the program indicated.
I give Permission for pictures to be taken of my child:
Name of Participants Parent/Guardian:
Any questions call Karenanne Nigro at (845) 947-5261 or email knigro@townofstonypoint.org
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