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2. Family Event Registration Form
   Register for family events below. Only registrations with payment will be considered complete. You will receive a confirmation of your registration to the email address provided and tickets will be held at the door.
4. Contact Information
6. Primary Contact Name
7. Mobile Phone*
   (XXX) XXX-XXXX
9. Address*
10. City*
11. Zip Code*
13. Email *
17. Participant Names and Ages
    All participants should be listed here, even if one of the participants is also the primary contact listed above.
21. Program
    -- Select One --Daddy Daughter Dance Family Yoga Mom & Son Bowling

    Choose Program
25. Waiver for Participation by Parent
    In consideration of your accepting my entry or my child's entry, I hereby, for myself, my child, my heirs, executors and administrators, waiver and release any and all rights and claims for damage I or my child may have against the City of Fraser, Fraser School District and its representatives, successors and assigns for any and all injuries suffered by myself or my child at any activity sponsored by these groups. Please not that any participants picture may be used for promotional purposes and releases the City of Fraser from any liability thereof.
27. By submitting this form, you are accepting the statement above.
29. After submitting this form you will be directed to a payment page. Payment is accepted via credit card. Approximately a 3.75% service charge will be assessed. Only registrations with matching payments will be considered complete.
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field