Mirage Mas BIG TOP Kiddies Carnival Registration Form 🎉🎈

Mirage Mas 'Welcome to the BIG TOP' Kiddies Carnival Registration Form 🎉🎈

Please fill out this form to register your child for the BSOCCAH Kiddies carnival Saturday August 22nd.
Child's Full Name

First NameLast Name
Child #2 Full Name

First NameLast Name
Child's Age
Child #2 Age
Guardian's Full Name

First NameLast Name
Guardian's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian's Email Address
example@example.com
Any Special Needs or Notes (ambulatory, allergies, sensory etc)
Band Sections ($50 deposit)
prevnext( X )
Cotton Candy
Girls section w/backpack option

$100.00 Quantity



Ringmaster
Boys section

$90.00 Quantity



Clowning Around
$90.00 Quantity



Total

$0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Mirage Mas 'Welcome to the BIG TOP' Kiddies Carnival Registration Form 🎉🎈