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Texins Parent's Night Out Registration
April 4/22
*
1.
Parent Name:
(Required.)
*
2.
Parent Phone Number:
(Required.)
*
3.
Email Address:
(Required.)
*
4.
Registration Type:
(Required.)
TI Employee
TI Contractor
TI Retiree
Co-Locator
*
5.
List your AID/XID. If you are not a TI employee please list which company you work for.
(Required.)
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6.
Number of children attending:
(Required.)
1
2
3
4
5
6
7
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7.
Payment Method:
(Required.)
Credit Card
Payroll Deduction
*
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.
(Required.)
Member
Non-Member
