TESTING

Sample

Wednesday Night Dinner Sign Up

Please fill out the form completely, including which entrees each diner prefers. Thank you. Weekly Costs: Adults & Youth - $9/each; Children - $5/each; Family Max - $25

Name*
First Last
Email Address*
Meat Entrées
Number of Adults & Youth (grades 6-12) - $9 each
Number of Children (grade 5 and younger) - $5 each
Vegetarian Entrées
Number of Adults & Youth (grades 6-12) - $9 each
Number of Children (grade 5 and younger) - $5 each
Kid's Entrées
Number of Adults & Youth (grades 6-12) - $9 each
Number of Children (grade 5 and younger) - $5 each
Dietary Concerns or Restrictions
List please any dietary concerns or restrictions.
Childcare
Do you need childcare for children under 4?
- Yes
- No
If yes, names and ages of children under 4

Sample

Wednesday Night Dinner Sign Up

Meat Entrées

Vegetarian Entrées

Kid's Entrées

Dietary Concerns or Restrictions

Childcare