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Registration

In Person Sign Up Event

Regina Howell Drive-Thru Sign Up

(for pre-k through 5th grade girls)

(Spanish Assisted: )

(Location)

5850 Regina Ln, Beaumont, TX, 77706

Thursday, April 8, 2021
5:30 PM

Parent First Name
Parent Last Name
Email:
Phone:
Zip Code:
Girl First Name:
Girl Last Name:
Girl School:
Girl Grade:
Girl Age (Year):

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