Digital Magic

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Child's First Name *

Child's Last Name *

Child's Date of Birth *

Child's School Grade *

Gender *

What time would you like to register? *

How many people will be participating? *

Please Describe any Food Allergies *

Parent/Guardian's Full Name *

Parent/Guardian's Phone Number *

Address *

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To secure your booking, please pay $35.

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Yes, I agree with Stemulation Lab's Terms and Conditions and Refund Policy.

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