NATIONAL PLAY DATE | 40+Double Dutch Club

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AUGUST 6

First Name

Email

Subclub Location

Last Name

Birthday

Chicagoland Member?

yes

no

WILL YOU BE ATTENDING?

YES, CAN'T WAIT!

NO

HOW EXCITED ARE YOU?A LIL BITKINDAVERY SUPERSUPER DUPERHOW EXCITED ARE YOU?

CHECK ALL THT APPLY

OFFICIAL MEMBER

CAPTAIN / CO-CAPTAIN

DELEGATE

MEMBERSHIP+

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