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  Baby Parade Entry Blank

Full Name___________________________________________________________

Age_________________________Date of Birth____________________________

Parent’s Name_______________________________________________________

Address – Street, Box #, Town, State, Zip Code_____________________________

_______________________________________________________________________

Phone No.___________________________________________________________

Title of Entry________________________________________________________

Division Desired Class Register No. (Do not fill in) ______

Submit the above entry blank to: Judy Keller, 789 Church Rd., Quarryville, PA 17566 by Friday, September 14, 2007. No entries will be accepted at the fair office during fair week.


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