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BOOK
ARE
YOU
READY!?
FOR THE MOST
AMAZING
VIP EXPERIENCE EVER?
WE WILL TAKE THAT AS A
YESSS!!!
Join us for a PRIVATE SHOWING on OPENING NIGHT of
The Super Mario Galaxy Movie!
WHEN!?
Friday, April 3th
5:00 pm Pre Show Event
5:30 pm Movie Starts!
WHERE!?
VIP Carbondale 8
Located in the University Mall
1263 E Main St, Carbondale, IL
FILL OUT THE FORM BELOW TO RESERVE YOUR SPOT!
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CAN YOU JOIN US!? April 3rd at 5:00 pm - VIP Cinemas
*
Yes! I'm in!
1263 E Main St, Carbondale, IL 62901 - Located in the Carbondale Mall
Child's Name
*
First
Last
Name of Parent or Guardian that will be attending the event
*
First
Last
Parent or Guardian Relationship to Child
*
Email
*
Phone
*
Optional: Additional Guest 1
First
Last
Leave blank if you do not plan on adding additional guests.
Optional: Additional Guest 2
First
Last
Leave blank if you do not plan on adding additional guests.
Do you need additional guest slots?
*
Yes
No
Additional Guest 3
First
Last
Additional Guest 4
First
Last
Due to limited seating in the theater the maximum guest slots per Little Egypt patient is 4 (excluding parent or guardian) if you need to include additional guests please call (618) 319-4536 - Thank you!
Every child must be accompanied by a parent or guardian at all times during the event
*
I understand, I'll be there!
How did you hear about our VIP Movie Night?
*
My child is a Little Egypt Pediatric Dentistry patient
My child attends St. Andrews School
My child is both a patient and a St. Andrews student
We are friends / community guests
How excited are you to see The Super Mario Bros. Movie!?!?
Very excited!
One Hundred Million Bajillion Percent Excited!!!!
INFINITY EXCITEDDD!!!!!
If you cannot make the event after you reserve a spot please contact Little Egypt Pediatric Dentistry.
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