Magic Castle Registration


First Name:  
Maiden Name (if any):
Last Name:  
Graduation Year:
Address:  
City:
State:
Zip:    
Phone:
Email Address:    
Email Address Confirmation:  
Number of Adults(including self)
($45.00 each):
 
Name(s) of Adult(s) Attending(other than self):
Number of Children (10 & under)
($25.00 each):
 
Name(s) of Children Attending: