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Sensory Friendly Play Date - April 23rd, 2024

2024 REGISTRATION FORM

***Please provide us an email address that you routinely check - it is what we will use for program communication.***

Thank You!

Register for Sensory Friendly Play Date - April 23rd, 2024 under the following

First & Last Name

First Name

Last Name

Contact email

Verify Email

Date

(mm/dd/yyyy)

Are you a Fern Hollow Member?

Yes, I am member

No, I'm not a member

Sensory Friendly Play Date - April 23rd - Members Fee *	Quantity
$8 - Members
$3 - additional child

Sensory Friendly Play Date - April 23rd - Public Fee *	Quantity
$14 - Public
$3 - Additional child

Participant(s) full name(s)

Please enter first and last name(s) for all participants being registered; including age(s) for the children; separated by commas. Example: Ann Smith, James Smith (6mo), Beth Smith (2). Only 1 caregiver and up to 2 children per registration, please. You may add up to 4 children, for an additional $3 fee, per child, using the "additional child" option.

Would you like to make an additional donation?

$5 - Thank you!

$10 - Thank you!

$20 - Thank you!

Add 3% to my total amount to help cover the payment processing fees