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ESO Dance RSVP Form

ESO Dance Flyer Oct

Upcoming Dance: October 16, 6 - 8 p.m.

Adults 18 and older only. Must attend with a family or staff member.

Dancers Name: *

Emergency Contact Name: *

Emergency Contact Phone Number: *

Email Address: *

Are you registering a BNI Group Home?: *

Yes
No

If yes, please list the names of participants attending:

Any health concerns we should be aware of?:

Are photos permitted to be taken?: *

Yes
No

I understand the dancer(s) must be over 18 and have someone accompanying them the night of the dance: *

Yes, I understand