John Dudley

Comedy Magician

2922 Pipestone Rd.
Benton Harbor, MI 49022
ph: (269) 325-5744
johndudleymagic@yahoo.com

MAGIC KIDS CLUB

*Parent's Name (First and Last):

* 1st Magic Kid's Name (First and Last):

1st Magic Kid's Date of Birth:

2nd Magic Kid's Name (First and Last):

2nd Magic Kid's Date of Birth:

3rd Magic Kid's Name (First and Last):

3rd Magic Kid's Date of Birth:

*Address Line 1:

Address Line 2:

*City:

*State/Province:

*ZIP/Postal Code:

* Put your email address & any comments in the "comments" box.

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2922 Pipestone Rd.
Benton Harbor, MI 49022
ph: (269) 325-5744
johndudleymagic@yahoo.com