Kickoff Graffiti Party

Teen Full Name*
First Name Last Name
Teen Phone Number*

Area Code Phone Number
Parent Full Name*
First Name Last Name
Parent Phone Number*

Area Code Phone Number
Parent E-mail*
Number of Teens Attending* No Charge
Name(s) of other teen(s) attending
C-Teen Membership $360 per Teen

Yes, I'm joining today and signing up for the year!I will make a decision after the kickoff party
Total

$0.00 USD

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We accept Visa, MasterCard, American Express, Discover
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Expiration Month	Expiration Year

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