Christmas Meal Registration

Name

Phone

This address will receive a confirmation email

How many adults will be attending? Please INCLUDE yourself in this number.

How many children under 12 years old will be attending?

Does anyone in your family have any dietary restrictions?

Please consider donating to our annual Christmas fundraiser here!

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

December 20th at 2:00pm

Please fill out this form to preregister for our Christmas Meal happening at Mississauga Valley Community Centre in the LC Taylor Room (1275 Mississauga Valley Blvd, Mississauga).

Christmas Meal Registration

Description

Please Fix the Following