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2024 Quiltapalooza Special Event - Alaska
Registration information and Emergency Contact information for Alaska Attendees.
Full Name (First, Last)*
Home Street Address*
Home City and State*
Home County*
Email Address*
Phone Number (Cell)*
Emergency Contact Name*
Emergency Contact Phone Number*
Please list any Food Allergies we should know about. (Please note, this is for MEDICAL ALLERGIES that if ingested will cause harm)
Do the Allergies listed above require medical attention if consumed or contacted?
Please Select One
This Does Not Apply to Me
No
Yes
Do you have any Special Needs we would need to make accommodations for?
Requested Sewing Mates (1-2 Guests per Table for this Special Event)
What is Your Preferred Shirt Size?*
Please Select One
S
M
L
XL
2XL
3XL
4XL
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Amy's Quilt Room
69 Romeo Lane
Uniontown, PA 15401
Call us now:
(724) 434-9987
Email:
info@amysquiltroom.com
Click here for our store hours
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