Table for Eight Registration

Payson United Methodist Church

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Table for Eight Registration

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone *

Mobile *

Email *

Age Group *

18-29 30-39 40-55 55-Older

Would you be willing to serve as Lead Host for your group? *

Yes No

Joining as *

single couple family

Family members' names: *

Do you have any pet allergies? *

No (None Known) Cats Dogs Other

If other, please list: *

Do you have any food allergies or sensitivities? (Please check all that apply) *

No Gluten (wheat, oats, rye, barley) Casein (Dairy) Lactose (Dairy) Milk (Dairy) Soy Corn Eggs Strawberries Peanuts Tree Nuts Xanthan Gum Guar Gum Sugars (Diabetes) Salt (Low Sodium diet) Other

If other, please list: *

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