Board Game Night for Singles Registration

Wednesday, February 14 2024

Please fill out this form to participate in this super fun fundraiser.
Full Name*

First NameLast Name
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
MaleFemaleOther
SportsMoviesMusicArtTravelBooksOther
YesNo
Saw a flyer at The Island receptionHeard on the radioFacebookInstagramSaw a poster at the gymSaw a poster at the supermarketA friend told me about itOther
To ensure your reservation, kindly make a payment of $25.00. Use the code SINGLE and include your name as a reference. Transfer the funds to the club account 06 0556 0011 362-00.

If you have any questions, send email to juliana.carvalho.nz@gmail.com
Should be Empty:

Wednesday, February 14 2024