The 2012 Irem Shrine Circus will be held April 9th to April 14th, 2012.

It is our hope that your Elementary School Class will attend as our guests.

A box lunch is avaliable, consisting of a Juice Box, Hot Dog and Fresh Apple.
The cost is $4.00 each and must be ordered and paid for in advance.
The lunch will be delivered to your seats!



School Name:
Address:
 
Contact Person:
Phone:
Special Needs:
All shows begin at 10:00am
Wednesday, April 11th, 2012 - Approx # Attending:Buses:Lunches:
Thursday, April 12th, 2012 - Approx # Attending:Buses:Lunches:
Friday, April 13th, 2012 - Approx # Attending:Buses:Lunches:
Amount Paid:

Please complete this form and return it to the:

Irem Shrine Circus Office
22 East Union Street
Kingston PA 18704

Deadline for this information is March 15th, 2012.

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