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(262)675-2473
info@bluelotusfarm.org

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Independence Day
Wednesdays, 10 a.m. - 3 p.m.
June 20 • July 18 • August 22

Caregivers & children (ages 5-25)
$5.00 per person
Snacks & beverages will be provided

Register online, by mail, or by calling 262-675-2473
Independence Day 2012 Flyer Thumbnail

REGISTER AND ORDER YOUR INDEPENDENCE DAY TICKETS ONLINE USING THIS FORM....
Quantities can be changed/altered during the checkout process.

Please Specify Date Attending
First time attending?
List full names and ages of all attending
Special Needs, Mobility Level, Food Allergies

Or... print and mail an Independence Day Registration Form
Form, along with payment, MUST be received two weeks prior to chosen event date.

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©2012 bluelotusfarm.org
Blue Lotus Farm & Retreat Center is a 501(c)(3) tax exempt charitable organization.
All gifts to Blue Lotus are tax deductible within IRS guidelines.