Magic Show with Jay & Joss registration

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* 1. Please fill in your contact information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please give the name and date of birth for each person joining the event (excluding yourself) below:

Name and date of birth:

Name and date of birth:

Name and date of birth:

Name and date of birth:

Name and date of birth:

Name and date of birth:

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* 3. We would love for you to send us pictures of your family enjoying the show. Please tick the yes or no if you plan to do this and we will contact you with a photo consent form(s).

Yes

No