* T-Shirt Price:

* T-Shirt :

* Payment Method - $100 deposit with a $5 processing fee *Failure to submit payment voids registration form.:

* CONSENT INFORMATION: I authorize Boom Carnival to collect payment of my costume. I understand that I am financially responsible for the payments and balance. I also authorize Boom Carnival to release any and all information required to the section leader :

* Electronic Signature:

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