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Mother & Daughter Tea Registration Form

Mother's Name
Address (Please include City, State, Zip Code)
Contact Number
Email Address
Food Allergies
1. Daughter's Name
Age
1. Food Allergies (Please List)
2. Daughter's Name
2. Age
2. Food Allergies ( Please List)
3. Daughter's Name
Food Allergies (Please List)
4. Daughter's Name
Age
Food Allergies (Please List)
Daughter's Name
Age
Food Allergies (Please List)
6. Daughter's Name
Age
Food Allergies
Number of persons attending. Please include yourself in the count
Amount ($30 per mother/daughter $10 for each additional daughter).