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Special Needs Super Hero Registration
This event is free to children and adults with special needs as well as their family and caregivers!
Saturday, October 4, 2025
If you have any questions about the application, please e-mail Pastor Tim Reynolds at timrey1@hotmail.com or call 618-244-5404.
Guest Name:
Address:
Emergency Contact Phone:
Contact E-mail Address:
CILA Home (if applicable):
Special Accommodations:
T-shirt Size:
Small
Medium
Large
Small
Medium
Large
XL
2XL
3XL
Caregiver's Name:
Additional Relevant Information:
Submit