IFWB Valentines Day Dinner

Please fill out this form and click submit.

Name

*

2nd Name

Phone (In case of child emergency)

*

Entree Choice 1

*

Please select one option.

Chicken 8oz Ribeye

Side 1 Option

*

Please select one option.

Salad Coleslaw

If you chose salad, what dressing would you like?

Side 2 Option

*

Please select one option.

French Fries Baked Potato

Dessert

*

Please select one option.

Clouds and Sunshine Chocolate Cake

Entree Choice 2

Please select one option.

Chicken 8oz Ribeye

Side 1 Option

Please select one option.

Salad Coleslaw

If you chose salad, what dressing would you like?

Side 2 Option

Please select one option.

French Fries Baked Potato

Dessert

Please select one option.

Clouds and Sunshine Chocolate Cake

Do you need childcare (to be provided at the church gym).

*

Please select one option.

Yes No

If childcare is needed, for how many children?

Thank you! After submitting this form, step 1 is done. Then, please click the GIVE button on our app home screen to pay your $25 registration fee per person. Be sure to select the 'Valentine's Dinner' fund from the drop down fund menu when you go to pay.

Description

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