West Lakes Dinner Club - April 2024
Every Monday in April from 4-7 p.m.
Please fill out this form in its entirety to register for West Lakes Dinner Club located at the Heart of West Lakes Wellness Center 710 S. Tampa Avenue. We are no longer requiring weekly registrations, once you've filled this out this form - you're in the club and there's no need to register again!
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Email *
First Name *
Last Name *
Street Address *
City *
State *
ZIP Code *
What neighborhood do you live in? *
Phone Number *
Number of People in your household joining you for dinner. (If you have more than 4 people in your household, please email lift@liftorlando.org to sign up). *
Please list the first and last name of each guest in your party below. (One meal per person, the number of names below should match number of people in your party above. Thank you!) *
I plan to attend the following weeks (please select as many as you'd like!):  *
Required
Preferred Dining Time  *
When it comes to the neighborhood you live in, what is the most important issue to you?
 *
Please explain your answer above
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A copy of your responses will be emailed to the address you provided.
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