Weekly Dinner Registration
Please register by Monday at 4pm the week of dinner and program.
Family or Individual's Name
*
Name
Number of Adults
*
Example: 1
Number of Children (5-12 years of age)
*
Example: 2
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If you plan to pay at the door,
only check the "Pay via cash/check envelope at the door" box below.
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Pay via cash/check envelope at the door
*You may pay at the door via cash or check, as long as you pre-register here.
$
Free
Number of Adults (if paying online)
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Number of Children (if paying online)
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Family of 4 or more (if paying online)
$
30.00
Credit Card
Submit
Should be Empty: