CONNECTING WITH PLYMOUTH COVENANT - MEMBERSHIP DINNER - June 23, 2019
4:30-6:30pm in the Cafe..Dinner is served! (please feed kids going to childcare/or send food with them) Teens (16yrs or older) wishing to go through the membership process welcome.
Primary Registrant
First Name
Last Name
Phone Number
Email Address
Registrant's Spouse
if applicable
First Name
Last Name
Phone Number
Email Address
Additional Information
How many total will be attending the dinner (not including childcare):
List Names of all attending the dinner with you:
Will you need childcare?
*
Yes
No
Please enter names and ages of child(ren) needing childcare
Submit
Should be Empty: