2018 LI East District Clergy Picnic
Please use this form to RSVP for our first clergy picnic.

Belmont Lake State Park - Maple Pavilion
Saturday, June 23 at 10am

Please anticipate an $8 fee for parking upon your arrival.

Clergyperson's Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
# of Adults Attending (including clergyperson)
# of Children Attending (0-5 years old)
# of Children Attending (5-12 years old)
# of Children Attending (13-17 years old)
Food Allergies or Special Dietary Needs
Please specify any special dietary needs you or your family may have.
Your answer
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