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2019 Reservation Form

- Santa Breakfast 2019 Order Form
  
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Saturday, December 7th - Breakfast 10:00 a.m.
  Scrambled eggs, hash brown, sausage, donuts,
  fruit and a beverage.
  
  Saturday Breakfast - Number of Children Attending - $6 each
  
  Saturday Breakfast - Number of Adults Attending - $6 each
  
  Saturday, December 7th - Dinner 5:00 p.m.
  Fried chicken (child nuggets), mashed
  potatoes, green beans, fruit, and a beverage.
  
  Saturday Dinner - Number of Children Attending - $6 each
  
  Saturday Dinner - Number of Adults Attending - $7 each
  
  Sunday, December 8th - Breakfast 10:15 a.m.
  Scrambled eggs, hash brown, sausage, donuts,
  fruit and a beverage.
  
  Sunday Breakfast - Number of Children Attending - $6 each
  
  Sunday Breakfast - Number of Adults Attending - $6 each
  
  Names of Children
  
  Child 1 Please enter valid data.
  
  Child 2 Please enter valid data.
  
  Child 3 Please enter valid data.
  
  Child 4 Please enter valid data.
  
  Child 5 Please enter valid data.
  
  Child 6 Please enter valid data.
  
  Child 7 Please enter valid data.
  
  Child 8 Please enter valid data.
  
  Child 9 Please enter valid data.
  
  Child 10 Please enter valid data.
  
  Child 11 Please enter valid data.
  
  Child 12 Please enter valid data.
  
  You can pay by cash or check at the door. If you have any questions please free to contact Suzanne Myers.
  
  Submit
- ORDER FORM
  
  PRINTABLE ORDER FORM