*Attendee Contact Information(Required.)

First Name:

Last Name:

City/Town:

Email Address:

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Please indicate any food allergies for this attendee.

Contact Information for additional attendees.

First Name:

Last Name:

City/Town:

Email Address:

Phone Number:

Please indicate any food allergies for this attendee.

Contact Information for additional attendees.

First Name:

Last Name:

City/Town:

Email Address:

Phone Number:

Please indicate any food allergies for this attendee.

If you have additional questions or comments, please leave them in the box below or contact South Dakota Parent Connection at (800) 640-4553 / email: sdpc@sdparent.org.