Name:

Email:

Phone:

 

Will your family attend the picnic with you?  Yes No

 

Please list those that will attend with you:
 

Spouse:
 

Children & Ages

 

Other:

 

Do you have a set of horseshoes, bocce, etc. that you can bring to share?  Please list:

 

**This form DOES NOT secure housing with the Wesley Center.  You must contact the Wesley Center at 379.449.4500 for overnight accommodations (Single - $54, Double - $38, Family of 4 - $80)**