RSVP For the 2022 Glasgow Lodge #485 Christmas Party

DINNER STARTS AT 6:30 PM ON SATURDAY, DECEMBER 3RD 2022.

TICKET PRICES:

ADULTS (18 & Up): $15.00

CHILDREN (10-17): $ 5.00

CHILDREN UNDER 10: FREE

No tickets will be sold at the door.

A check for the total number in your party must be received by no later than FRIDAY, NOVEMBER 18th, 2022

Checks shall be made payable to:

Glasgow Lodge #485 PO BOX 5 SHIPPINGPORT, PA 15077

Your Name*

First NameLast Name

Your Email Address (not necessary)

example@example.com

Best Contact Phone Number*

Please enter a valid phone number.

How Many Attendees (including yourself) will be in your party ?*

	Please Select
Number of Adults (18+)

Will There be Any Children in Your Party ? Please select YES or NO:*

	YES	NO
Children Attending ?

If Children will be in your Party, please specify below:

How many girls & boys
The Age(s) of each child

This will ensure we purchase age and gender-appropriate gifts

to be given to the children at the party.

Please Select Age Ranges for GIRLS in Your Party. (Note, if you have 2 or more girls in the same age range, select the appropriate number in the drop-down box.)

	0-2	2-4	5-8	9-12	13-17
GIRLS

Please Select Age Ranges for BOYS in Your Party. (Note, if you have 2 or more girls in the same age range, select the appropriate number in the drop-down box.)

	0-2	2-4	5-8	9-12	13-17
BOYS