FLOCKED FUNDRAISER INSURANCE FORM

Complete form to insure you don't get flocked for summer of 2021. Dexter Friends of the Park Boon Park Playground Project Fundraiser.

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * - ### - ### ####
Please select payment option: *

Please select payment option: Pay Online ($11.00) Pay at Park Office ($10.00)