Diaper Derby Form — Canal Fest of the Tonawandas
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The Sponsors
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2025 SCHEDULE
Location
Contact
Home
The Sponsors
Golf Tournament
2025 SCHEDULE
Location
Contact
BABY'S Name
*
First Name
Last Name
PARENT'S Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Baby's AGE
*
How long have they been crawling?
*
PAYMENT ~ $5 doantion
*
PLEASE SELECT ONE
I will be dropping the $5 off at JAMIES ICE CREAM | 1401 Nash Rd. • N. Tonawanda 14120
I will be dropping the $5 off during Canal Fest at the CANAL FEST Corporate Tent | Sweeney St. • NT
AGREEMENT
*
I give my consent for the Baby I am now registering for the CANAL FEST of the TONAWANDAS Diaper Derby to be photographed and/or filmed for publicity purposes while participating in the 2024 Diaper Derby. All photos, digital files and film will be the property of the Diaper Derby Committee and Erie Niagara Sunrise Exchange Club.
I agree to the statement above
Please enter today's date
*
MM
DD
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Thank you!