Hoofbeats of Hope Registration
Friday July 22, 29, and August 5. 1:00 - 4:00pm. Must be able to attend all three sessions in order to register.
Parent/Guardian Name:
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Child Information:
Name
First Name
Last Name
Grade going into:
Name of person who died:
Date of Death:
How did the death occur? (sudden, illness, violent, etc.)
Will you be registering another child?
Yes
No
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Child Information (2):
Name
First Name
Last Name
Grade going into:
Name of person who died:
Date of Death:
How did the death occur? (sudden, illness, violent, etc.)
Will you be registering another child?
Yes
No
Back
Next
Child Information (3):
Name
First Name
Last Name
Grade going into:
Name of person who died:
Date of Death:
How did the death occur? (sudden, illness, violent, etc.)
Will you be registering another child?
Yes
No
Back
Next
Payment
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Hoof Beat Attendee(s)
$
75.00
Quantity
0
1
2
3
4
5
Credit Card
Submit
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