April 4/22


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* 1. Parent Name:

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* 2. Parent Phone Number:

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* 3. Email Address:

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* 4. Registration Type:

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* 5. List your AID/XID. If you are not a TI employee please list which company you work for.

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* 6. Number of children attending:

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* 7. Payment Method:

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* 8. Texins Parents Night Out  Registration fees are $30.00 for the 1st child and $10 for each additional child,  $35.00 per child for Texins non-members.



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