Christmas Dinner Registration

Saturday, December 2, 5:30-7:30 pm | Please fill out this form and click submit. The cost is $5/ person which goes toward the main entrée, beverages, etc. Children ages 10 and under eat for free; they can sit with the adults or childcare is provided.

Name

*

Email

*

This address will receive a confirmation email

How many people are attending with you over the age of 10?

0 ($0) 1 ($5) 2 ($10) 3 ($15) 4 ($20) 5 ($25) 6 ($30) 7 ($35) 8 ($40) 9 (4$5) 10 ($50)

Amount

How many children under the age of 10 will attending the dinner? (they eat for free)

*

Please select one option.

[0] 1 2 3 4 5 6 7 8 9 10

How many children will be attending childcare?

*

Please select one option.

[0] 1 2 3 4 5 6 7 8 9 10

Any allergies we should be aware of?

Please bring a dish for sharing. Last name start with:

*

Please select one option.

A-G: bring salad or fruit dish H-P: bring rice, potato, or noodle dish Q-Z: bring Vegetable

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Saturday, December 2, 5:30-7:30 pm

Please fill out this form and click submit. The cost is $5/ person which goes toward the main entrée, beverages, etc. Children ages 10 and under eat for free; they can sit with the adults or childcare is provided.

Please Fix the Following

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