GUEST REGISTRATION 2020
Event Timing: FRIDAY, FEBRUARY 7TH 2020

Location: Meal Dance
5:00 6:00-9:00
Marimor School Lima First Church (Assembly of God)
2550 Ada Road 1660 Findlay Road
Lima, Ohio 45801 Lima, Ohio 45801

*Food will be provided for guest and maximum of two parents/caregivers.

Guests will receive a complimentary limo ride from dinner to the dance. If unable to attend dinner guests may arrive and check in directly at the church for the dance beginning at 6:00 p.m.

We ask all caregivers to either stay at the dance or return to the church by 8:45 for guest pickup.

Contact: Rachael Staley
(419) 303-8012
rstaley@acbdd.org
Email address *
Name of Guest *
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Parent/Caregiver Name *
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Parent/Caregiver Phone Number *
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Mailing Address *
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Check Box that Applies *
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Guest Age *
Your answer
Guest Gender *
Dietary Restrictions *
Please list any other dietary restrictions, food allergies, sensory issues, or medical disorders that are relevant to this event.
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I understand as a caregiver that I need to arrive back at the church by 8:45 for pickup if I am not going to stay for the event. *
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