Name *

Email *

Address *

City, State & Zip *

Phone *

Are you a * - Select -School or Parish GroupParishionerNon-ParishionerFundraiser - NOT a School or Parish Group

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Event Info

Event Name *

Event Date *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20222023202420252026

Start and End Times *

Apx. Number of Guests *

Will you be serving alcohol? * - Select -YesNo

Type of Event *

Additional Info