2023 Christmas Dinner & Dance

CHRISTMAS DINNER & DANCE

Christmas Dinner & Dance

* Indicates required field

Name *

First

Last

Email *

Cell Number *

ARE YOU A DTA MEMBER? *

YES NO

(Female) Choose Age - Entrance Fee $20 per child (Gift included) *

0-3 4-6 7-9 10-12 None

(Male) Choose Age Entrance Fee $20 per child (Gift included ) *

0-3 4-6 7-9 10-12 None

How many attendees aged 13+ ? (Entrance Fees $10 per person) *

How many Seniors & Adults are attending? (Entrance fees $10 per person) *

# of people are attending in total? *

How much total funds are you E-transferring ? *

I will be E-transferring funds to: [email protected] *

Yes

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