DPC Youth Progressive Dinner 2024 Registration

Youth Progressive Dinner RSVP

First Name *

Last Name *

Phone Number

School Grade

Does your childe have any dietary requirements? *

Child Emergency Contact & Relationship *

Child Emergency Phone Number *

Transport Approved for the Child *

The plan is for youth to be transported in cars driven by leaders between locations. If you choose 'None' for transport approval please contact Emily so that an alternative plan can be put in place for your child/ren to attend.

Do you consent to your child attending this event? *

Yes