Family Harmony Walk & Lunch Registration
Sunday, October 1, 2023 at Wantagh Park (1 King Rd, Wantagh, NY 11793)

Check-in begins at 9:30 AM

Program begins at 10:30 AM

1)Please fill out the form and submit.
2)Finish registration by making the payment following the link on the next page.
**Processing fee will be charged as 'Tax'
***For any questions please email at info@dhfny.org
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Adresse e-mail *
First and Last Name
 *
Cell Phone Number
 *
* Format (000-000-0000)
Mailing Address
 *
*Format (House no.  Street Address, State Zip code)
Number of Adult Attendees
 *
*Adult (18 and above)
Number of Senior Attendees
 *
*Senior (60 and above)
Number of Youth Attendees
 *
*Youth (Age 11-17)
Number of Children Attendees
 *
*Children (Ages10- Under free)
List Names and Ages of all attendees
 *
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