Wisconsin Humane Society

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Available Ticket Classes for This Event:

Ticket Class	Available	Limit	Price
Kids Night Out Ticket (Opens new window)	18	No Limit	$30.00

Request Ticket Purchases Here:

Quantity	Cost (calculated)
Number of Kids Night Out Ticket Tickets:	Cost:
Total Tickets Requested:	Total Cost:

The Wisconsin Humane Society relies on donations to further our mission. Your donation is always appreciated.

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Please answer the following additional questions to help us prepare for the event.

*1.	Question - Required - Child's name:
*2.	Question - Required - Child's age at time of program: (Maximum response 255 chars, approx. 5 rows of text)
*3.	Question - Required - What school does your child currently attend? (Maximum response 255 chars, approx. 5 rows of text)
*4.	Question - Required - Name of parent/guardian: (Maximum response 255 chars, approx. 5 rows of text)
*5.	Question - Required - Street address: (Maximum response 255 chars, approx. 5 rows of text)
*6.	Question - Required - City: (Maximum response 255 chars, approx. 5 rows of text)
*7.	Question - Required - Zip code: (Maximum response 255 chars, approx. 5 rows of text)
*8.	Question - Required - Parent/guardian phone number (Maximum response 255 chars, approx. 5 rows of text)
9.	Question - Not Required - If registering multiple children, please share their names, ages, and any special considerations here.
*10.	Question - Required - The following demographic questions help us track our work toward diversity, equity, and inclusion, and apply for funding to support our work. Your child's information is being used only for overall reporting and will not in any way affect your eligibility for, or participation in, our programs. What is your child's ethnicity?
*11.	Question - Required - Which race does your child primarily identify with?
*12.	Question - Required - How did you hear about Kids Night Out?
13.	Question - Not Required - If other, please specify: (Maximum response 255 chars, approx. 5 rows of text)

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