Saturday, January 30 | 5:00 - 9:00pm
(9080 CR 2472, Royse City, 75189)
THIS FORM IS ONLY OPEN TO WOMEN FROM THE WAIT LIST THAT HAVE BEEN CONTACTED BY MARY WILSON.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Cell Number
*
T-Shirt Size
*
Please Select
S
M
L
XL
XXL
3XL
Dietary restrictions? Medical concerns? Anything else we should know?
Are you interested in carpooling?
Please Select
Yes
No Thanks
(If you choose "Yes," we will do our best to help you find a ride/people to ride with you!)
Emergency Information
Emergency Contact's Name
*
First Name
Last Name
Emergency Contact's Phone Number
*
Cost is $10, but scholarships are available. Please contact Mary Wilson for more information at: wilsonm@mungerplace.org.
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