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Selfie Photo Station
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First Name

Last Name

Email

Phone

Event Date

Event Type:

Birthday Celebration (Adult)

Birthday Celebration (Youth)

Special Event/Celebration (provide details under additional information)

Special Event/Program (provide details under additional information)

Fundraiser

Wedding Reception

Other (provide details under additional information)

Will your event be,

Indoor

Outdoor (Power Available)

Outdoor (No Power Available)

Will there be Wifi available?

Event Start Time

Event End Time

Venue Name (if applicable)

Venue Address

Approximate Number of Guests

Do you have a event coordinator? *

Yes

No

Additional Information

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