Easter Egg Decorating

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Registration

Please fill out the whole form. You will need both the youth/young adult and their parent/guardian to complete this form if under 18. You will receive a confirmation email once it is complete. If you do not receive the email, please reach out to Karen Asbury at karen@ncidc.org or 707-445-8451 to confirm that we have received your registration.

Thank you for your interest in the event! The Easter Egg Decorating event will be hosted in our 3rd floor theater room located at 517 3rd Street, Eureka Ca 95501. It will be held on Thursday, April 17th, from 5-7:30 PM. Supplies and dinner will be provided.

All information provided on the form will be kept confidential and will not be shared with any external parties.

Youth/Young Adult Contact Information

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Last Name

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Email Address

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