Event registration
Event Date: Sunday June 6th- July 18th, 2021
Event Time: 12:30-3:30 (lunch & childcare is provided at no cost to families)
Event Address: Muncie Civic Center
216 E. Main St.
Muncie, IN 47305
Contact us at: Purdue Extension Office 260-726-4707 or atbullio@purdue.edu
First & Last Name *
Email *
Best contact phone number *
Number of people in your family attending. (Total number in your family who will need a meal) *
Number of your teen(s) participating and their age. (Example: 1-10yr old, 1-13yr old) *
Will you need free childcare for children 0-9 years of age? *
If you answered "YES" to the question above, how many children need childcare?
Does anyone in your family have dietary restrictions? *
Do you need any special accommodations to participate in the program? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy