WORLD RECORD REGISTRATION FORM
Click the image below to print out the form.
Fill it out and bring it with you to the New Years Eve event.
*If you can't print out the form, you can email us the required information
(Include: First and Last name, Email, Phone, Male/Female, Date of Birth)
Email this information to: info@nyedallaslive.com
(Click the image above to print out the form)
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