Dinner at Halo House
Thank you so much for considering our residents and caregivers. You will be contacted once we have received your submission.
Full Name
*
First Name
Last Name
Company/Group/Organization
E-mail
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
How many members are in your Group?
December 30th- January 5th at 6pm
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Month
-
Day
Year
Date
January 6th-12th at 6pm
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Month
-
Day
Year
Date
January 13th-19th at 6pm
-
Month
-
Day
Year
Date
January 20th-26th at 6pm
-
Month
-
Day
Year
Date
January 27th-Feb 2nd at 6pm
-
Month
-
Day
Year
Date
Feb 3rd-Feb 9th at 6pm
-
Month
-
Day
Year
Date
Feb 10th-Feb 16th at 6pm
-
Month
-
Day
Year
Date
Feb 17th-Feb 23rd at 6pm
-
Month
-
Day
Year
Date
Feb 24th-Mar 2nd at 6pm
-
Month
-
Day
Year
Date
Any questions or more information we need to know?
Submit Form
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