EmailMe Form - Defend Muslims Civil Rights Fundraising Dinner: CA

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Defend Muslims Civil Rights Fundraising Dinner: CA

WHERE: Dar-Al-Islam Masjid Gym, 517 Wiedman Rd, Ballwin MO, 63011
WHEN: Saturday, March 18th at 6:00 P.M.

Name *
First Last
Email *
Number of People in Your Party *
Phone *
### - ### - ####
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Will You be Needing Babysitting or the Youth Program *
No
1 - Babysitting
2 - Babysitting
3 - Babysitting
4 - Babysitting
5 - Babysitting
1 - Youth Program
2 - Youth Program
3 - Youth Program
4 - Youth Program
5 - Youth Program
BABYSITTING: 6 and younger, Will be provided for $10 per child,
YOUTH ACTIVITIES: 7 - 12, $5 per child, games, and activities will be available for children ages 7-12 to have fun, enjoy delicious pizza, and not be bored at the event.