Ultimate Date Night - Registration
Registration form for Feb 11 2017 Ultimate Date Night, couples dinner
What is your last name?
If you have any allergies / dietary restrictions, please elaborate.
Spouse's First Name
Spouse's Last Name
This event is for couples - single tickets are not available.
If your spouse has any allergies / dietary restrictions, please elaborate.
Method of Payment - choose either:
$35 Cheque (pay at door)
How did you hear about the Ultimate Date Night?
Attended previous Sanctifying Families / Ultimate Date Night event
Word of Mouth
Parish Bulletin (please indicate which parish in "other")
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