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Highland Lake Picnic Registration Form
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Day Time Phone
*
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Email (will not be shared or published)
*
Retype Your Email Address Below
Confirm Email Address
Number of Picnic Attendees (Including Yourself)
*
How many attendees will participate in the games
*
2 - 5 year olds
6 to 8 years olds
9 to 11 year olds
12 years to Adult
How many will join our chicken dinner.
*
Children
Adults
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