Village Well Monthly Meeting
Please register online by May 10 so we can balance our classroom childcare needs.
Email *
Your answer
Name: *
(First & Last)
Your answer
Spouse Name:
(First & Last)
Your answer
Phone: *
Your answer
I/We are a: *
We are serving a free dinner for your whole family at 6 pm. Will you be joining us? *
Do you require childcare? *
Please provide the child's FIRST AND LAST name
Child #1 Name and Age
Your answer
Child #2 Name and Age
Your answer
Child #3 Name and Age
Your answer
Child #4 Name and Age
Your answer
Child #5 Name and Age
Your answer
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