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Complimentary admission

Guest of Honor registration

Friday, February 12, 2027 · 6:00–9:00 PM · The Well Church

Checking available spots…

Guest of Honor full name

Birthdate

Parent or caregiver name

Email

Mobile phone

Emergency contact and phone

Companion preference

Companion name, if bringing one

Family members in respite room

Mobility assistance

Allergies, dietary needs, sensory needs or other information

I have read and agree to the registration privacy notice.