JGELC Annual Family Dinner November 15, 2019
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Your Last Name *
Your First Name *
Email Address *
How many adults will be in your party? *
How many children ages 3-12 will be in your party? *
How many children age 2 or under will be in your party? *
Please list the names of all attending in your party. *
Food allergies or dietary restrictions that we should be aware of.
How would you like to pay for the dinner? *
Total Payment:
Adults & Teens = $18
Children 3-12 = $5
Children 2 and under are free
Last date to make a reservation: Friday, November 8
This will allow us to plan for sufficient food for all.
Please enter dollar amount *
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