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2. 
4. Organization/Individual*
5. Today's Date
   Today's Date
7. First Name*
8. Last Name*
10. Address*
12. City*
13. State*
14. Zip*
16. Phone*
17. Email*
19. Kid's Club
20. Activity*
22. Date Requested*
    Date Requested
23. Day(s) Desired*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
24. Time*
    Time Start Time

    —

    Time End Time
26. Attendance Expected*
27. Special Request
29. Tables Needed*
30. Chairs Needed*
31. Food Served*

    1. Yes
    2. No
33. Deposit Required

    1. Yes
    2. No
36. Fees Paid

    1. Cash
    2. Check
    3. Credit Card
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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field