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Dragon Hearts Event Payment Form

- Father
  Daughter
  Event
  
  2023 DHC Father Daughter Payment (All required fields)
  $30 per couple, $45 for father + 2 or more daughters
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Parent/Guardian Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian Email: REQUIRED Please fill out this field. Please enter an email address.
  
  Parent/Guardian Phone: REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Number of Daughters REQUIRED Please fill out this field.
  
  Daughter 1
  
  Daughter's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Daughter 2
  
  Daughter's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Daughter 3
  
  Daughter's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Daughter 4
  
  Daughter's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Payment REQUIRED Please fill out this field.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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