Wednesday Night Dinner Registration - 3/18

Name

This address will receive a confirmation email

Phone

Number of Adults

Number of Children (4-12)

Number of Children (3 and under)

Payment

Dinner is $5 per person with a family max of $25. Children 3 & under are free. Please only use the family max for those living in your household. Select to pay online or in person. If paying online, enter the payment amount for your household.

Payment

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

March 18| 6:00PM

Joining us for dinner on Wednesdays? Please let us know you are coming by registering online. This will help us adequately prepare for dinner.

This week's dinner: Chick-fil-A sandwiches, pasta salad, chips, desser

Wednesday Night Dinner Registration - 3/18

Description

Please Fix the Following