Request edit access
Registration Form
Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Email Address:
Your answer
Phone #:
Your answer
Dinner includes a potato bar, and lots of toppings, plus a green salad for $10. (Please indicate if a sweet potato is preferred; ALSO State # of adults and # of kids to eat. Kids in care eat free.) *
Your answer
If you would like childcare for your kids, Please give the name and age of each child. There will be a magic show for kids in care.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service