Fall 2026 YG Dinner Payment Form
Dinner is served at every youth group and subsidized by the church to cost only $5/plate! Rather than worrying about cash each Sunday evening, use this form to pay for dinner based on how many youth groups you generally expect to attend for this coming semester. In total, there will be 15 typical youth groups with 15 dinners this fall.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
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Student #1 Information
Student Name
*
First Name
Last Name
What meal option would you like to select for this student?
*
Please Select
Level One (4-6 Meals) - $30
Level Two (7-11 Meals) - $55
Level Three (12-15 Meals) - $75
Do you want to add meals for another student (sibling)?
*
Please Select
Yes
No
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Student #2 Information
Student Name
*
First Name
Last Name
What meal option would you like to select for this student?
*
Please Select
Level One (4-6 Meals) - $30
Level Two (7-11 Meals) - $55
Level Three (12-15 Meals) - $75
Do you want to add meals for another student (sibling)?
*
Please Select
Yes
No
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Student #3 Information
Student Name
*
First Name
Last Name
What meal option would you like to select for this student?
*
Please Select
Level One (4-6 Meals) - $30
Level Two (7-11 Meals) - $55
Level Three (12-15 Meals) - $75
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Payment Page - Fall 2026 Youth Group Dinner
Fall 2026 Youth Group Dinner Subtotal (Includes the cost of all meal options selected for student/s this form)
Would you like to donate Meals for visitors/forgetful students? ($15 for three meals)
Please Select
Yes
No
N/A
Total Meals Cost
Fall 2026 Youth Group Dinner Total
*
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( X )
USD
YG Dinner Total cost includes the cost of all meal options selected on form + any donated meals (if applicable).
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Buy with
Buy with
Should be Empty: