Summer Camp Out Dance

Please only register one person per submission.
Summer Camp Out Dance

Thursday, August 22nd from 6-8pm at Crosswinds Golf Club
Name of Attendee*

First NameLast Name
Will you be bringing staff?*

YesNo
Staff Name

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Gluten Free?*

YesNo
Notes
Payment Method ($10 fee)*

VenmoPayPalCash (Drop off or Mail)Check (Drop off or Mail)Waived (DESE or other reason)
Venmo: @PCFS02360

PayPal: info@pcfamilysupport.org

Cash/checks can be dropped off or mailed to 118 Long Pond Road Suite 205 Plymouth, MA 02360
Should be Empty: