JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Deane Little Beans RSVP
Thank you for your interest in our children's program! Please fill out the following form to RSVP. We look forward to seeing you!
Deane Center Address: 104 Main St., Wellsboro, PA 16901
If you have any questions, please contact us at (
570)-724-6220
or
Emma@deanecenter.com
* Indicates required question
Email
*
Record my email address with my response
Select the Deane Little Beans events you plan on attending. You may choose multiple events.
*
Jan. 18 - Winter Wonderland
Feb. 12 - Moana Sing-a-long
April 2- River City Puppets (10:30AM)
April 26 - Earth Day Celebration
May 24 - Royal Fairytale
Required
How many children will be attending?
*
Your answer
How many adults will be accompanying the children to the event?
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone number
*
Your answer
List the first names of your child(ren) here.
Your answer
How old is your child? Check all that apply if you have more than one child attending.
*
3
4
5
6
7
8
9
10
11
12
Other:
Required
How did you hear about this event?
*
Website
Friend
Newsletter
Advertisement
School Flyer
Other:
List any allergies we may need to know about (specifically food)
Your answer
Would you like to receive emails about upcoming Deane Little Beans events?
If Yes, please provide your email below.
Your answer
Do you give permission for your child's photo/video to be taken and used for promotional purposes?
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
