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LEGO Build Workshop (Ages 8-12) 4/12 & 4/19 10am-12:30pm
Purchaser Information
First Name
Last Name
Street Address
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City
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Zip Code
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Phone Number
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Email Address
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Workshop Quantity ($25 Per Person)
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Total
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Workshop Infomation
Date (4/12 or 4/19)
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Child's Full Name
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Age
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Child's Full Name
*
Age
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Emergency Contact Name & Phone Number
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Any Allergies we need to know about- food, etc
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Is there anything we need to know about your child?
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Your email address will be collected for further communication but will not be shared with any other businesses. Please check the box if you do not want us to add your name to our distribution list.
Please do not add my email address
Credit Card Billing/Mailing Address Information
Credit Card Number
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EXP Date
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First Name
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Last Name
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Street Address
Address Line 2
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