Registration due no later than Tuesday, September 28, 2010 at 5:00 pm.

BABY PARADE ENTRY FORM

 

Name of Child____________________________________________        Age______________________

Parent's Name_________________________________________________________________________

Address______________________________________________________________________________

City / State / Zip_______________________________________________________________________

Phone Number____________________________________________

Costume or Theme Title__________________________________________________________________

Classification of Entry____________________________________________________________________

No._____________________________________________________

Mail to:
Stacey McCarthy
104 Saybrooke Drive
Lititz, PA  17543
(717) 627-2446


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