Request edit access
Community Potluck Supper
Sunday, November 9th. 4-7 pm.
Whitney Community Center, Jackson, NH
Sign in to Google to save your progress. Learn more
Name *
Email *
Phone Number *
Number of Participants *
Required
What Are You Bringing? *

Liability Waiver: I am a participant in a Friends of the Whitney Community Center program. I am familiar with and recognize the inherent risks in this type of program and I assume all the risks of injury and loss arising from my participation, hereby releasing and holding harmless the Whitney Community Center and its agents from liability for any such injury or loss.

*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report