Le Masquerade: Mini Masque

Name: Le Masquerade: Mini Masque
SKU: 2022-1-1
Price: 70.00 USD
Availability: InStock

$70.00

Keiki Ticket for Mini Masque. ($70 per child)

Mini Masque 2024 Keiki Information and Waiver

Childʻs Name(Required)

First Last

Age(Required)

2nd Childʻs Name

First Last

Age

3rd Childʻs Name

First Last

Age

Parent/ Guardian's Name(Required)

First Last

Parent/ Guardian's Phone(Required)

Parent/ Guardian's Email(Required)

2nd Parent/ Guardian's Name (Optional)

First Last

2nd Parent/ Guardian's Phone (Optional)

2nd Parent/ Guardian's Email (Optional)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Physician's Name

Physician's Phone Number

Please indicate if your child has any medical conditions that our staff should be aware of or that may affect your child's participation.

SKU: 2022-1-1 Category: Le Masquerade