Movin N Groovin Dance

1
Menu for Tuesday, Nov 26th
Walking Tacos
Location: Lakeside Venues
400 Old Rt 21 Rd
McClellandtown, PA 15458
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Name of Guest Attending* This field is required.Dance is open to any adult with an Intellectual Disability
First Name
Last Name
3
Contact Information* This field is required.
Please enter a valid phone number.
4
Chaperone's Name* This field is required.Each guest is required to have a chaperone with them during the entire event
First Name
Last Name
5
Contact Information for Chaperone* This field is required.
Please enter a valid phone number.
6
Any special information we should be aware of?Allergies, special accommodations, etc
Huge
Large
Normal
Small
Ok
Ok
7
Is registered individual celebrating their birthday this month?* This field is required.We will be announcing all monthly birthdays and singing happy birthday
YESNO
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$3 per registrant @ Door (one chaperone free per registrant)

Additional donations are accepted at the door to help offset the costs of each event. ALL proceeds received will be used for Movin N Groovin dance purposes.
Should be Empty: