EVENTS & RAFFLE Entry & Payments
This form only allows the purchase of entries for our "EVENTS & RAFFLES." Thank You for Supporting Our Work in the Community! #DaddyBackwards
Adult Name:
*
First Name
Last Name
Email Address:
*
example@example.com
Phone Number:
*
-
Area Code
Phone Number
Available EVENTS & RAFFLES:
*
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7-11-26: BINGO (One ADULT Entry) Ages 13 and Up
$15.00
$
15.00
Please use this section to purchase your ADULT entry. (The 6.35% added is the CT State Sales Tax)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
7-11-26: BINGO (One CHILD Entry) Ages 12 and under
$5.00
$
5.00
Please use this section to purchase your entry. (The 6.35% added is the CT State Sales Tax)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
7-18-26: JUST DANCE Tournament (Ages 7 - 12)
$10.00
$
10.00
YOUTH BRACKET: Once You Purchase this entry, please email the Name and Age of the child who will be participating to: info@DaddyBackwardsEntertainment.com (The 6.35% added is for the CT State Sales Tax)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
7-18-26: JUST DANCE Tournament (Ages 13- 17)
$10.00
$
10.00
TEEN BRACKET: Once You Purchase this entry, please email the Name and Age of the child who will be participating to: info@DaddyBackwardsEntertainment.com (The 6.35% added is for the CT State Sales Tax)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Payment Information
All payments are Securely Processed through "SQUARE", Daddy Backwards Entertainment does not see or receive your payment information. You will be emailed a link to your receipt. If you have any questions, please feel free to contact us: info@DaddyBackwardsEntertainment.com
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