Name:       Date of your Reservation: Sep 08Sep 15

Number of Adults($5.00) 0 1 2 3 4 5     Number of Children 3-12($3.00) 0 1 2 3 4 5     Children Under 3(FREE) 0 1 2 3 4 5

Family maximum of $20.

Comments: 

PLEASE NOTE:Dinner begins at 5pm. Reservations are due by noon on Mondays.You are resposible for payment of all reservations, even if you can not attend.

PLEASE REQUEST CARRY-OUTS ONLY IN THE CASE OF EMERGENCIES. CARRYOUTS MUST BE REQUESTED BY 6:00 PM AND MAY BE PICKED UP AFTER 6:15 PM.

If you would like to volunteer to help with our meals please tell us the following:

Name:   Phone Number:

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