Application for Family Fun Day Date Preference Please list your date preference and use all numbers. Put a “1,” “2,” “3,” or “4,” next to the dates. “1” is your first choice; “4” is your last choice. November 2nd: 10am – 4pm * 1 2 3 4 November 9th: 10am – 4pm * 1 2 3 4 November 16th: 10am – 4pm * 1 2 3 4 November 23th: 10am – 4pm * 1 2 3 4 Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!
