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* 1. Parent or Guardian Name

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* 2. How many seats do you need for adults?  ($5.00/seat will be charged to your account)

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* 3. How many child seats do you need? (Ages 6-12 yrs/$3.00/seat will be charged to your account)

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* 4. How many seats do you need for children 5 & under?  (NO CHARGE)

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