Dadeland Reconstruction Vision Night

REGISTRATION DETAILS

Name

This address will receive a confirmation email

Phone

How many members of your family INCLUDING YOURSELF (ages youth through adult ) will be attending? PLEASE write in a number TOTAL (1, 2, 3, 4, 5 etc.)

PLEASE list all the names of family members you included in the above total, that will attending with you (ages youth through adult):

Childcare: Kids 5th Grade and Younger

Children (Please list child's name and age)

Description

September 17, 2023 at 7pm-9pm

Please fill out this form and click submit.